Transosseous method
First Claim
Patent Images
1. A method for placing an element transosseously through first and second transverse, intersecting bone tunnels, the method comprising:
- inserting a first tunnel member into a bone along a first insertion axis, the first tunnel member having a proximal end and a distal end, the first tunnel member having a first longitudinal passage at least partway through the first tunnel member;
inserting a second tunnel member into the bone along a second insertion axis, the second insertion axis intersecting the first insertion axis, the second tunnel member having a proximal end and a distal end, the second tunnel member having a second longitudinal passage at least partway through the second tunnel member;
continuously inserting a passer from a second bone tunnel to a first bone tunnel until the passer extends from the proximal end of the second bone tunnel, through the second bone tunnel, through the first bone tunnel, and out of the proximal end of the first bone tunnel in one continuous path; and
passing an element from the first bone tunnel to the second bone tunnel by withdrawing the passer back through the first bone tunnel and back through the second bone tunnel.
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Abstract
Instruments and methods for surgical transosseous attachment to a bone include a guide able to guide the formation of intersecting bone tunnels and a passer able to pass a member through the bone tunnels.
641 Citations
18 Claims
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1. A method for placing an element transosseously through first and second transverse, intersecting bone tunnels, the method comprising:
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inserting a first tunnel member into a bone along a first insertion axis, the first tunnel member having a proximal end and a distal end, the first tunnel member having a first longitudinal passage at least partway through the first tunnel member; inserting a second tunnel member into the bone along a second insertion axis, the second insertion axis intersecting the first insertion axis, the second tunnel member having a proximal end and a distal end, the second tunnel member having a second longitudinal passage at least partway through the second tunnel member; continuously inserting a passer from a second bone tunnel to a first bone tunnel until the passer extends from the proximal end of the second bone tunnel, through the second bone tunnel, through the first bone tunnel, and out of the proximal end of the first bone tunnel in one continuous path; and passing an element from the first bone tunnel to the second bone tunnel by withdrawing the passer back through the first bone tunnel and back through the second bone tunnel. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16)
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17. A method for placing suture transosseously through first, second, and third transverse, intersecting bone tunnels, the method comprising:
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forming a first bone tunnel in a bone with a first tunnel member; forming a second bone tunnel transverse to and intersecting the first bone tunnel with a second tunnel member; placing a first portion of suture through the first and second bone tunnels and at least partway through the first tunnel member; forming a third bone tunnel transverse to and intersecting the first bone tunnel with the second tunnel member while the first portion of suture is present in the first tunnel member; and placing a second portion of suture through the first and third tunnels and at least partway through the first tunnel member while the first portion of suture is present in the first tunnel member. - View Dependent Claims (18)
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Specification