METHOD OF KNOTLESS TISSUE FIXATION WITH CRISS-CROSS SUTURE PATTERN
First Claim
1. A knotless method of attaching soft tissue to bone, comprising:
- providing a first medial row constructed with a first plurality of fixation devices, wherein at least one of the first plurality of fixation devices is an anchor;
providing a second lateral row constructed with a second plurality of fixation devices, wherein at least one of the second plurality of fixation devices is a knotless fixation device;
passing at least two flexible members from the same anchor of the first row, through the soft tissue and over a lateral portion of the soft tissue and to at least two different fixation devices of the second row, the flexible members being attached to the same anchor of the first row and being secured at an opposite end in a hole in bone by different fixation devices without tying a knot.
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Accused Products
Abstract
A knotless tissue fixation (such as an arthroscopic rotator cuff repair) with a criss-cross suture pattern. The criss-cross pattern is obtained by (i) providing a first medial row constructed with a first plurality of fixation devices, at least one of the first plurality of fixation devices being an anchor; (ii) providing a second lateral row constructed with a second plurality of fixation devices, at least one of the second plurality of fixation devices being a knotless fixation device; and (iii) providing a structure formed of suture, suture chain, tape or allograft/biological component, and extending the structure in a criss-cross pattern, over the soft tissue, so that the structure is secured in place by the anchors.
214 Citations
32 Claims
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1. A knotless method of attaching soft tissue to bone, comprising:
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providing a first medial row constructed with a first plurality of fixation devices, wherein at least one of the first plurality of fixation devices is an anchor; providing a second lateral row constructed with a second plurality of fixation devices, wherein at least one of the second plurality of fixation devices is a knotless fixation device; passing at least two flexible members from the same anchor of the first row, through the soft tissue and over a lateral portion of the soft tissue and to at least two different fixation devices of the second row, the flexible members being attached to the same anchor of the first row and being secured at an opposite end in a hole in bone by different fixation devices without tying a knot. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17)
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18. A knotless method of attaching soft tissue to bone, comprising:
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inserting a first anchor and a second anchor through the soft tissue, wherein each of the first and second anchors comprises a plurality of elongated flexible members secured to each of the first and second anchors prior to insertion; inserting the first and second anchors into the bone; passing each of the elongated flexible members over the soft tissue; and attaching, after said step of passing, the elongated flexible members to a plurality of knotless fixation devices so that each of the elongated flexible member is secured to a different knotless fixation device, wherein the number of elongated flexible members secured to each anchor is equal to the number of knotless fixation devices. - View Dependent Claims (19, 20, 21, 22)
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23. A knotless method of attaching soft tissue to bone, comprising:
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providing a first medial row constructed with two suture anchors, each of the suture anchors comprising three flexible strands attached thereto; providing a second lateral row constructed with three knotless fixation devices; capturing each of the three flexible strands of one of the two suture anchors of the first row by a separate knotless fixation device of the second row; and capturing each of the three flexible strands of the other of the two suture anchors of the first row by a separate knotless fixation device of the second row. - View Dependent Claims (24, 25, 26, 27)
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28. A method of tissue fixation comprising:
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providing a plurality of suture chains, each of the suture chains including at least two loops formed of suture; securing a first portion of the suture chains to a tissue to be fixated; and securing a second portion of the suture chains with knotless fixation devices into bone sockets formed laterally to the tissue to be fixated, wherein the first and second portions of the suture chains form a diamond pattern. - View Dependent Claims (29, 30, 31, 32)
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Specification