External bullet anchor apparatus and method for use in surgical repair of ligament or tendon

• US 20080275553A1
• Filed: 11/09/2006
• Published: 11/06/2008
• Est. Priority Date: 11/09/2006
• Status: Active Grant

• Current Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Original Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Inventors: Wolf, Alan W., Jordan, Christopher S.
• Granted Patent: US 7,686,838 B2
• Time in Patent Office: Days
• US Class Current: 623/13.14
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 2017/0404 Buttons
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening lateral eyelet for attaching suture to needle A61B2017/06019
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2002/087 Anchor integrated into tendons, e.g. bone blocks, integrated rings
• CPC Class Codes: A61F 2002/0882 Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone

Abstract

A surgical anchor device for the repair of a torn ligament or tendon, primarily the anterior cruciate ligament in the knee, is used to affix the ligament within a femoral bone tunnel in the distal portion of the femur from the intra-articular surface, the device providing a pulley for a suture, wherein a free end of the suture may be pulled away from the device to draw the suture attached to the ligament graft within the femoral bone tunnel securing the ligament graft within the bone tunnel. Installation of the device is provided by insertion of the device through a tibial hole, through the femoral tunnel out of the lateral femoral cortex, pulling the attached sutures simultaneously to flatten the device against the lateral femoral cortex, attaching one end of the suture to the ligament graft and pulling the other end of the suture until the graft is situated properly within the femoral bone tunnel and tying the free end of the suture to retain the graft within the femoral bone tunnel.

Claims

1. A bullet anchor device utilized in the surgical repair and attachment of an ACL graft in a knee joint, the device comprising:

a biocompatible body member having a blunt tapered first end, a flat second end defining an indented tool socket, an upper surface providing an axial recessed groove, a lower surface defining a flattened portion, an upper aperture from said flattened portion to said recessed groove, and a lower aperture from said flattened portion to said recessed groove, said upper and lower apertures and said recessed groove adapted to receive a surgical suture having two ends extending from said upper and lower apertures.

2. The device, as disclosed in claim 1, further comprising:

said upper and lower apertures are angled, having an inward taper from said flattened portion to said recessed groove, with a smooth rounded lower margin and a smooth rounded upper margin adjacent to said upper and lower apertures, preventing damage or wear to said suture passing through said upper and lower apertures and said recessed margin, said sutures passed freely through said upper and lower apertures and within said recessed groove without restriction.

3. A method for the surgical repair of an anterior cruciate ligament in a knee comprising the steps of:

a. positioning said knee joint at a ninety degree angle;

b. preparing said knee for surgery by sterilization of said knee;

c. drilling a bone tunnel from an upper anterior portion of a tibia through a knee capsule and completely through a distal end of a femur to a lateral femoral cortex;

d. inserting a blunt tapered first end of a biocompatible bullet anchor device into said bone canal of said upper anterior portion of said tibia, said bullet anchor device further comprising a flat second end defining an indented tool socket, an upper surface providing an axial recessed groove, a lower surface defining a flattened portion, an upper aperture from said flattened portion to said recessed groove, and a lower aperture from said flattened portion to said recessed groove, said upper and lower apertures and said recessed groove slideably securing a surgical suture having two ends extending from said bullet anchor device, said insertion accomplished by use of an elongated tool having an end adapted to said indented tool socket to rotate and insert said bullet anchor device completely through said bone tunnel to said lateral femoral cortex;

e. simultaneously pulling said two ends of said suture until said lower surface is secured against an outer surface of said lateral femoral cortex;

f. securing one said end of said suture to an ACL graft;

g. pulling said unattached end of said suture from said bone tunnel while drawing said ACL graft into said bone tunnel, said device acting as a pulley upon said suture;

h. tying off said unattached end of said suture to said ACL graft or other suitable structure within said knee joint.