摘要:
A method for reconstructing a joint according to an exemplary aspect of the present disclosure includes, among other things, fixating at least one suture inside a joint space, retrieving the at least one suture from inside the joint space, passing the at least one suture through a graft at a location external to the joint space, shuttling the graft into the joint space and fixating the graft using the at least one suture.
摘要:
Self-reinforcing mechanical systems with application to biological fixation of a first tissue (for example, soft tissue) to a second tissue (for example, bone). As a repair construct is stressed, there is a feedback mechanism (self-reinforcing) against failure that is initially triggered by early failure. The construct “detects” its early/impending failure and utilizes the potentially destructive force to reinforce itself.
摘要:
Instrumentation for an open or arthroscopic Latarjet procedure that allows more control graft handling during the formation of the hole and proper positioning parallel to the articulating bone surface. The surgical instrumentation of the present invention includes an osteotome with a plurality of markings and a depth stop, a drill guide with jaws configured to securely engage an outer surface of the graft, and an offset guide to position the graft to the bone.
摘要:
Instrumentation for an open or arthroscopic Latarjet procedure that allows more control graft handling during the formation of the hole and proper positioning parallel to the articulating bone surface. The surgical instrumentation of the present invention includes an osteotome with a plurality of markings and a depth stop, a drill guide with jaws configured to securely engage an outer surface of the graft, and an offset guide to position the graft to the bone.
摘要:
A suture anchor and kit for anchoring a suture member to human bone. A suture anchor includes a threaded portion and has a head at the proximal end thereof, the head being generally circular. A tip is located at a distal end of the shank. The shank is at least partially threaded and includes walls defining a reel portion. The shank also includes walls for engaging a suture, the walls for engaging the suture typically adjacent walls defining the reel portion. The head typically includes walls for engaging a drive tool. The kit includes a drive tool for rotating the suture anchor when a suture member is engaged with the walls for engaging the suture such that rotation of the anchor causes the suture material to wrap around the reel portion of the shank.
摘要:
An arthroscopic method and apparatus for implanting a suture anchor into tissue using a cannulated drill guide having an indented tip. Ligament tissue at a shoulder repair site is penetrated with a cannulated drill guide and removable trochar obturator. The obturator is removed, and the indented tip is positioned to straddle the glenoid rim at the repair site. Suture material is appended to a suture anchor. The pre-threaded suture anchor is attached to a device driver and installed through the cannulated drill guide into the repair site, where it is drilled into bone.
摘要:
An arthroscopic method and apparatus for implanting a suture anchor into tissue using a cannulated drill guide having an indented tip. Ligament tissue at a shoulder repair site is penetrated with a cannulated drill guide and removable trochar obturator. The obturator is removed, and the indented tip is positioned to straddle the glenoid rim at the repair site. Suture material is appended to a suture anchor. The pre-threaded suture anchor is attached to a device driver and installed through the cannulated drill guide into the repair site, by turning into bone.
摘要:
Systems and methods for soft tissue to bone repairs employing tensionable knotless anchors, without knot tying. The tensionable knotless anchors may be used by themselves or in combination with additional constructs (which may have a similar or different configuration, i.e., modified according to the specific repair) to achieve novel remplissage and soft tissue repairs.
摘要:
A method and device for knotless fixation of tissue. The method utilizes a push-in type anchor (for example, a self-punching anchor) and a suture chain that includes a plurality of loops. A first portion of the suture chain is secured to the tissue to be fixated. The suture chain is next secured to the push-in type anchor (for example, by passing the suture chain through an eyelet of the anchor). The anchor is then advanced along the suture chain to bring a tip of the anchor above a chosen loop or link of the suture chain. The tip of the anchor is pushed through the chosen loop so that the tip locks the chosen loop in place (for example, by capturing both sides of the link above a shoulder of the anchor). With the captured link, the anchor is advanced into a pilot hole or socket formed in the bone to fixate the tissue. The captured link provides a hard stop that does not slip, in addition to frictional interference between the anchor and the bone socket.
摘要:
An apparatus and method for passing suture in tissue repair and other surgical procedures. The apparatus includes a pair of jaws mounted on a distal end of a shaft, a handle assembly mounted on a proximal end of the shaft, and a needle mounted on the handle assembly and through a cannulation of the shaft. A suture is placed in a slot at the tip of the lower jaw. By advancing the needle relative to the body of the instrument, the needle is pushed forward to capture the suture and to pull it through the tissue to be sutured in a direction about parallel to the longitudinal axis of the shaft.