Soft tissue attachment
First Claim
Patent Images
1. A method of attaching a soft tissue to a bone, the method comprising:
- forming a bone tunnel in the bone, the bone having a longitudinal axis parallel to a length of the bone, the bone tunnel having at least first and second spaced apart openings at the surface of the bone;
passing a knotless suture through the soft tissue, the knotless suture having a suture first end on a first side of the soft tissue and a suture second end on a second side of the soft tissue and a mid-portion between the suture first and second ends; and
inserting an anchor into the bone tunnel, wherein after insertion a distal end of the anchor is positioned underneath the soft tissue, such that a line parallel to the longitudinal axis intersects both the anchor and the soft tissue, a proximal end of the anchor is positioned beyond an edge of the soft tissue, the suture first end extends from the distal end of the anchor to the soft tissue by passing through the bone tunnel, and the suture second end extends from the proximal end of the anchor to the soft tissue by passing proximally out of the bone tunnel and lying along an exterior surface of the bone.
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Abstract
Devices and methods to attach soft tissue to bone include, for example, forming a bone tunnel in a bone, passing a suture through soft tissue, and inserting an anchor in the bone tunnel, wherein a distal portion of the anchor is positioned underneath the soft tissue, a proximal portion of the anchor is positioned beyond an edge of the soft tissue, the suture first portion extends from the distal portion of the anchor to the soft tissue, and the suture second portion extends from the proximal portion of the anchor to the soft tissue.
314 Citations
20 Claims
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1. A method of attaching a soft tissue to a bone, the method comprising:
- forming a bone tunnel in the bone, the bone having a longitudinal axis parallel to a length of the bone, the bone tunnel having at least first and second spaced apart openings at the surface of the bone;
passing a knotless suture through the soft tissue, the knotless suture having a suture first end on a first side of the soft tissue and a suture second end on a second side of the soft tissue and a mid-portion between the suture first and second ends; and
inserting an anchor into the bone tunnel, wherein after insertion a distal end of the anchor is positioned underneath the soft tissue, such that a line parallel to the longitudinal axis intersects both the anchor and the soft tissue, a proximal end of the anchor is positioned beyond an edge of the soft tissue, the suture first end extends from the distal end of the anchor to the soft tissue by passing through the bone tunnel, and the suture second end extends from the proximal end of the anchor to the soft tissue by passing proximally out of the bone tunnel and lying along an exterior surface of the bone. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
- forming a bone tunnel in the bone, the bone having a longitudinal axis parallel to a length of the bone, the bone tunnel having at least first and second spaced apart openings at the surface of the bone;
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11. A method of repairing a soft tissue adjacent a shoulder joint comprising a proximal humeral bone having a longitudinal axis parallel to a length of the proximal humeral bone, and a rotator cuff, the method comprising:
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forming a bone tunnel through the proximal humeral bone adjacent to the rotator cuff, the bone tunnel having at least first and second spaced apart openings at a surface of the proximal humeral bone; passing a suture through the rotator cuff, the suture having a suture first end on a first side of the rotator cuff and a suture second end on a second side of the rotator cuff; and inserting an anchor into the bone tunnel, wherein after insertion a distal portion of the anchor is positioned underneath the rotator cuff such that a line parallel to the longitudinal axis intersects both the anchor and the rotator cuff, a proximal portion of the anchor is positioned beyond an edge of the rotator cuff, the suture first end extends from the distal portion of the anchor, through the first opening, and to the rotator cuff, and the suture second end extends from the proximal portion of the anchor, through the second opening, and to the rotator cuff. - View Dependent Claims (12, 13)
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14. A method of attaching a soft tissue to a bone, the method comprising:
- forming a bone tunnel in the bone, the bone having a longitudinal axis parallel to a length of the bone;
passing a knotless suture through the soft tissue, the knotless suture having a suture first end on a first side of the soft tissue and a suture second end on a second side of the soft tissue, wherein one of the first side and the second &
de faces toward the bone, and an other of the first side and the second side faces away from the bone; and
inserting an anchor into the bone tunnel, wherein after insertion a distal portion of the anchor is positioned underneath the soft tissue such that a line parallel to the longitudinal axis intersects both the anchor and the soft tissue, a proximal portion of the anchor is positioned beyond an edge of the soft tissue, the suture first end extends from the distal portion of the anchor to the soft tissue, and the suture second end extends from the proximal portion of the anchor to the soft tissue. - View Dependent Claims (15, 16)
- forming a bone tunnel in the bone, the bone having a longitudinal axis parallel to a length of the bone;
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17. A method of repairing a soft tissue adjacent a shoulder joint comprising a proximal humeral bone having a longitudinal axis parallel to a length of the proximal humeral bone, and a rotator cuff, the method comprising:
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forming a bone tunnel through the proximal humeral bone adjacent to the rotator cuff, the bone tunnel having at least first and second spaced apart openings at a surface of the proximal humeral bone; passing a knotless suture through the rotator cuff, the knotless suture having a suture first end on a first side of the rotator cuff and a suture second end on a second side of the rotator cuff; and inserting an anchor into the bone tunnel, wherein after insertion a distal portion of the anchor is positioned underneath the rotator cuff such that a line parallel to the longitudinal axis intersects both the anchor and the rotator cuff, a proximal portion of the anchor is positioned beyond an edge of the rotator cuff the suture first end extends from the distal portion of the anchor to the rotator cuff, and the suture second end extends from the proximal portion of the anchor to the rotator cuff. - View Dependent Claims (18, 19, 20)
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Specification