Whip-stitching with reinforcement material
First Claim
1. A method of graft preparation, comprising:
- (a) positioning a reinforcement ribbon over a first surface of a graft, the reinforcement ribbon being oriented to extend from a first end of the graft along a portion of a length of the graft toward an intermediate portion of the graft, the reinforcement ribbon having a first suture tail extending from a first end thereof and a second suture tail extending from a second, opposite end thereof, the second suture tail being adjacent to the first end of the graft;
(b) passing a needle attached to the first suture tail through the reinforcement ribbon and through the first surface of the graft at a first entry point to a second, opposite surface of the graft;
(c) passing the needle and the attached first suture tail around a side surface of the graft and passing the needle and the attached first suture tail through the reinforcement ribbon and the first surface of the graft at a second entry point, the second entry point being longitudinally spaced apart in a first direction from the first entry point;
(d) without the reinforcement ribbon being passed through the graft, repeatedly passing the needle and the attached first suture tail around the side surface of the graft and through the reinforcement ribbon and the first surface of the graft at subsequent entry points longitudinally spaced apart in the first direction from the first and second entry points until a final entry point is in proximity to the first end of the graft.
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Accused Products
Abstract
Systems and methods for preparing a ligament graft construct for a ligament reconstruction or repair procedure are provided. In general, the described techniques utilize a reinforcement material having at least one suture tail extending therefrom. The reinforcement material is a ribbon or a ribbon-like flattened portion attached to or integrally formed with the at least one suture tail. To prepare a tissue repair construct, the reinforcement material is positioned on a first surface of a graft to extend from an end thereof and the at least one suture tail, coupled to a needle, is repeatedly passed through the reinforcement material and the surface of the graft to a second surface of the graft, and around a side portion of the graft to thereby create multiple suture loops. The tissue repair construct can be formed on each end of the graft.
22 Citations
11 Claims
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1. A method of graft preparation, comprising:
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(a) positioning a reinforcement ribbon over a first surface of a graft, the reinforcement ribbon being oriented to extend from a first end of the graft along a portion of a length of the graft toward an intermediate portion of the graft, the reinforcement ribbon having a first suture tail extending from a first end thereof and a second suture tail extending from a second, opposite end thereof, the second suture tail being adjacent to the first end of the graft; (b) passing a needle attached to the first suture tail through the reinforcement ribbon and through the first surface of the graft at a first entry point to a second, opposite surface of the graft; (c) passing the needle and the attached first suture tail around a side surface of the graft and passing the needle and the attached first suture tail through the reinforcement ribbon and the first surface of the graft at a second entry point, the second entry point being longitudinally spaced apart in a first direction from the first entry point; (d) without the reinforcement ribbon being passed through the graft, repeatedly passing the needle and the attached first suture tail around the side surface of the graft and through the reinforcement ribbon and the first surface of the graft at subsequent entry points longitudinally spaced apart in the first direction from the first and second entry points until a final entry point is in proximity to the first end of the graft. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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9. A method of graft preparation, comprising:
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positioning a reinforcement ribbon over a first surface of a graft such that a first end of the reinforcement ribbon is adjacent a first end of the graft and the reinforcement ribbon extends along a portion of a length of the graft toward an intermediate portion of the graft, the reinforcement ribbon having at least one suture tail extending from a second, opposite end of the reinforcement ribbon; positioning a guide member over the reinforcement ribbon and the graft such that an opening formed in the guide member is positioned over the reinforcement ribbon along a longitudinal axis of the reinforcement ribbon; and forming a plurality of loops along a length of the reinforcement ribbon and the graft by; forming each loop by passing the at least one suture tail through the opening so that the at least one suture is passed through the reinforcement ribbon and through the first surface of the graft at the first position to a second surface of the graft, around a side of the graft and through the reinforcement ribbon and the first surface of the graft at the second position longitudinally spaced from the first position in a first direction and exiting the second surface of the graft material; and after the loop is formed, advancing the guide member in the first direction over the reinforcement ribbon and the graft, along the longitudinal axis of the reinforcement ribbon and the graft so that the at least one suture tail can be passed through the opening at a subsequent position spaced apart in the first direction from the first and second positions. - View Dependent Claims (10, 11)
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Specification