Anchor for screw fixation of soft tissue to bone

• US 20060149266A1
• Filed: 12/07/2005
• Published: 07/06/2006
• Est. Priority Date: 12/10/2004
• Status: Abandoned Application

• Current Assignee: New York Society For The Ruptured and Crippled Manufacturing The Hospital For Special Surgery
• Original Assignee: New York Society For The Ruptured and Crippled Manufacturing The Hospital For Special Surgery
• Inventors: Cordasco, Frank A.
• Application Number:
  US11/298,239
• Publication Number:
  US 20060149266A1
• Time in Patent Office: Days
• US Class Current: 606/76
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable or resorptive
• CPC Class Codes: A61B 2017/0404 Buttons
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening
• CPC Class Codes: A61B 2017/044 with a threaded shaft, e.g. screws
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2002/0829 without deformation of anchor parts, e.g. fixation screws on bone surface, extending barbs, cams, butterflies, spring-loaded pins
• CPC Class Codes: A61F 2002/0864 Fixation of tendon or ligament between anchor elements, e.g. by additional screws in the anchor, anchor crimped around tendon
• CPC Class Codes: A61F 2002/087 Anchor integrated into tendons, e.g. bone blocks, integrated rings
• CPC Class Codes: A61F 2002/0888 Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Abstract

The present invention relates to the field of orthopedics in addressing soft tissue to bone attachment. The embodiments of the present invention provide for a bioabsorbable inlay, a bioabsorbable inlay assembly, and a method to implant the bioabsorbable inlay between soft tissue and bone. Also provided is a means for facilitating soft tissue to bone attachment through the use of a bioabsorbable inlay, bounded with osteoconductive or osteoinductive materials, affixed at the interface of soft tissue to bone attachment sites. In an embodiment, the bioabsorbable inlay is formed into circular discs with holes for sutures to pass through and bounded with hydroxyapatite. The circular discs are then placed in communication between the soft tissue and bone at the appropriate site of attachment through the use of anchors and/or sutures. The bioabsorbable circular disc inlays are either overlaid or recessed into the bone.

Claims

1. A bioabsorbable inlay for promoting soft tissue to bone attachment comprising:

a bioabsorbable polymeric matrix;

a bioactive agent bound to the bioabsorbable polymeric matrix; and

a receptor for receiving an affixing member for affixing the bioabsorbable inlay between soft tissue and bone.

2. The bioabsorbable inlay of claim 1, wherein the bioabsorbable polymeric matrix is Poly (L-lactic acid) (PLLA), Poly (D,L-lactide) (PDLLA), Polylatic acid copolymer, Poly (Glycolic acid) (PGA), elastomeric hydrogel, collagen or a combination thereof.

3. The bioabsorbable inlay of claim 1, wherein the bioactive agent is hydroxyapatite (HA), tricalcium phosphate (TCP), bone morphogenic protein (BMP), osteogenic protein (OP), or a combination thereof.

4. The bioabsorbable inlay of claim 1 wherein the receptor is a hole.

5. The bioabsorbable inlay of claim 1, wherein the inlay is from about 3 to 5 mm in thickness.

6. The bioabsorbable inlay of claim 1, wherein the inlay is shaped as a circular disc or annulus.

7. The bioabsorbable inlay of claim 6, wherein the inlay is from about 6 mm to 10 mm in diameter.

8. The bioabsorbable inlay of claim 1, wherein the inlay contains a hole for sutures to pass through.

9. The bioabsorbable inlay of claim 8, wherein the number of holes is from about 2 to 4 holes.

10. The bioabsorbable inlay of claim 1, wherein the inlay bioabsorbes after about 6 weeks.

11. The bioabsorbable inlay of claim 1, wherein the soft tissue is, or associated with, biceps femoris tendons, biceps tenodesis, biceps tendon reattachment, capsular shift or capsulolabral reconstruction in the shoulder, deltoid repair, iliotibial band tendons, iliotibial band tendodesis, lateral collateral ligaments, lateral ankle stabilization, medial collateral ligaments, patellar tendons, pectoralis major tendons, posterior cruciate ligaments (at the tibial side), rotator cuff tendons, rotator cuff repair, tennis elbow repair, triceps tendons, or a combination thereof.

12. A bioabsorbable inlay configured to be affixed between soft tissue and bone to promote attachment of the soft tissue to the bone.

13. The bioabsorbable inlay of claim 12 wherein the configuration is of a circular disc having a hole.

14. The bioabsorbable inlay of claim 12 wherein the configuration is of an annulus.

15. A method of promoting soft tissue to bone attachment comprising the steps of:

providing a bioabsorbable inlay comprising, a bioabsorbable polymeric matrix, a bioactive agent bound to the bioabsorbable polymeric matrix, and a receptor for receiving an affixing member to the bioabsorbable inlay between soft tissue and bone;

positioning the bioabsorbable inlay between soft tissue and bone at a site of attachment; and

affixing the bioabsorbable inlay between soft tissue and bone.

16. The method of claim 15, wherein the step of affixing the bioabsorbable inlay between soft tissue and bone, comprises the steps of:

installing an anchor into the bone at the desired location of soft tissue attachment;

inserting the bioabsorbable inlay between the anchor and soft tissue;

overlaying the soft tissue over the bioabsorbable inlay and anchor; and

securing the soft tissue and bioabsorbable inlay to the anchor.

17. The method of claim 16, wherein the bone at the desired location of soft tissue attachment is rasped or reamed to allow the bioabsorbable inlay to lay recessed and sit flush with the bone surface.

18. The method of claim 16, wherein the method is conducted arthroscopically.

19. The method of claim 16, wherein the method is conducted with an open technique.

20. The method of claim 16, wherein a plurality of bioabsorbable inlays is used to replicate the footprint of the soft tissue to bone interface.

21. The method of claim 16, wherein the securing step is selected from a group consisting of suturing, stitching, screwing, compressing, stapling, or gluing.

22. A bioabsorbable inlay assembly for promoting soft tissue to bone attachment, the assembly comprising:

a bioabsorbable inlay comprising a bioabsorbable polymeric matrix, a bioactive agent bound to the bioabsorbable polymeric matrix, and a receptor for receiving an affixing member for affixing the bioabsorbable inlay between soft tissue and bone; and

an anchor for inserting into the bone at the location of soft tissue attachment, the anchor in communication with the bioabsorbable inlay; and

a suture for securing the soft tissue, bioabsorbable inlay, and anchor together.

23. The bioabsorbable inlay assembly of claim 22, wherein the bioabsorbable polymeric matrix is Poly (L-lactic acid) (PLLA), Poly (D,L-lactide) (PDLLA), Polylatic acid copolymer, Poly (Glycolic acid) (PGA), elastomeric hydrogel, collagen, or combination thereof.

24. The bioabsorbable inlay assembly of claim 22, wherein the bioactive agent is hydroxyapatite (HA), tricalcium phosphate (TCP). bone morphogenic protein (BMP), an osteogenic protein (OP), or a combination thereof.

25. The bioabsorbable inlay assembly of claim 22, wherein the receptor is a hole.

26. The bioabsorbable inlay assembly of claim 22, wherein the inlay is from about 3 mm to about 5 mm in thickness.

27. The bioabsorbable inlay assembly of claim 22, wherein the inlay is circular in shape.

28. The bioabsorbable inlay assembly of claim 26, wherein the inlay is from about 6 mm to 10 mm in diameter.

29. The bioabsorbable inlay assembly of claim 22, wherein the inlay contains a hole for sutures to pass through.

30. The bioabsorbable inlay assembly of claim 29, wherein the number of holes is from about 2 to about 4 holes.

31. The bioabsorbable inlay assembly of claim 22, wherein the inlay bioabsorbes after about 6 weeks.

32. The bioabsorbable inlay assembly of claim 22, wherein the soft tissue is, or associated with, biceps femoris tendons, biceps tenodesis, biceps tendon reattachment, capsular shift or capsulolabral reconstruction in the shoulder, deltoid repair, iliotibial band tendons, iliotibial band tendodesis, lateral collateral ligaments, lateral ankle stabilization, medial collateral ligaments, patellar tendons, pectoralis major tendons, posterior cruciate ligaments (at the tibial side), rotator cuff tendons, rotator cuff repair, tennis elbow repair, triceps tendons, or combinations thereof.