Ligament reconstruction graft anchor apparatus

• US 5,152,790 A
• Filed: 03/21/1991
• Issued: 10/06/1992
• Est. Priority Date: 03/21/1991
• Status: Expired due to Fees

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: American Cyanamid Co (Pfizer Inc.)
• Inventors: Rosenberg, Thomas D., Reimels, William J., Carlozzi, Gerard S.
• Primary Examiner(s): SHAY, RANDY CITRIN
• Application Number:
  US07/672,893
• Time in Patent Office: 565 Days
• Field of Search: 623/13, 623/17, 606/72, 606/73, 439/13, 439/22, 439/23
• US Class Current: 623/13.14
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors
• 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: A61B 2017/0445 cannulated, e.g. with a longitudinal through-hole for passage of an instrument
• CPC Class Codes: A61F 2/0805 Implements for inserting tendons or ligaments
• 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 2002/0852 Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
• CPC Class Codes: A61F 2002/0882 Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone
• CPC Class Codes: Y10S 606/916 Tool for installing or removing orthopedic fastener

Abstract

A ligament graft replacement system (10) having an anchor assembly (16) on one end. The anchor assembly (16) includes an insert member (18), a threaded sleeve (22) and a rotatable ring (20) to which the graft (24) is attached. A harvested or synthetic graft (24) used as a replacement for a torn ligament or tendon is secured to the rotatable ring (20) by sutures (46) and the anchor assembly (16) is screwed into a tunnel (26) drilled in a bone or bone-like structure. The anchor assembly (16) includes a hexagonal opening (36) through its length for receiving a hex driver (48) in its trailing end (36) or its leading end (34). The anchor assembly (16) also preferably has a self-tapping thread (30) on its outer surface. The rotatable ring (20) is secured over annular flange (40) at the trailing end of the threaded sleeve (22) and has a plurality of openings or slots (50 ) to which the sutures (46) are attached.

Claims

1. A ligament reconstruction graft anchor assembly for securing a graft ligament to a bone having a tunnel formed therein, comprising:

a body member having a first end, a second end, a central opening and an external screw thread;

graft fixation means secured to said first end of said body member, said graft fixation means being rotatable relative to said body member; and

said body member having means for receiving a driver, said means for receiving extending through said body member from said first end to said second end.

2. An anchor assembly for securing a replacement ligament graft in an opening in a bone structure, said anchor assembly comprising:

a sleeve member having a first end and a second end, an axial extending passageway therein and an external screw thread;

an insert member positioned in said passageway and secured to said sleeve member, said insert member having means for receiving a driver at both of its ends; and

a ring member rotatably affixed to said insert member, said ring member having graft fastening means thereon.

3. The anchor assembly of claim 2 further comprising annular groove means formed in said anchor assembly between said sleeve member and said insert member, and wherein said ring member is rotatably affixed in said groove means.

4. A graft anchor assembly for securing a graft to a bone having a tunnel formed therein, comprising:

a body member having a first end, a second end, and an external screw thread;

graft fixation means secured to said first end of said body member, said graft fixation means being rotatable relative to said body member and including fastening means for enabling the graft to be fixedly attached to said graft fixation means;

said graft fixation means comprising continuously cylindrical ring means integrally and rotatably coupled to said body member;

means for engaging a driver to enable rotatable placement of said body member in the bone tunnel while said graft fixation means is rotatably secured to said body member and the graft is fixedly attached to said graft fixation means to minimize torquing the graft; and

said first end of said body member comprising flange means and said graft fixation means including holding means positioned over said flange means, said holding means including a rim of said ring means which extends radially inwardly to slidably engage said body member.

5. The anchor assembly of claim 4 wherein said rim slidably engages said body member between said flange means and said external screw thread.

6. The anchor assembly of claim 4 wherein said fastening means includes a plurality of slots formed in a side wall of said ring means to enable fastening of the graft to said ring means using suture means.

7. A graft anchor assembly for securing a graft to a bone having a tunnel formed therein, comprising:

a body member having a first end, a second end, and an external screw thread;

graft fixation means secured to said first end of said body member, said graft fixation means being rotatable relative to said body member and including fastening means for enabling the graft to be fixedly attached to said graft fixation means;

means for engaging a driver to enable rotatable placement of said body member in the bone tunnel while said graft fixation means is rotatably secured to said body member and the graft is fixedly attached to said graft fixation means to minimize torquing the graft;

said first end of said body member comprising flange means and said graft fixation means includes holding means positioned over said flange means; and

said graft fixation means comprising continuously cylindrical ring means integrally and rotatably coupled to said body member, said ring means defining a central passageway to enable insertion of the driver therethrough.

8. The anchor assembly of claim 7 wherein said screw thread is a self-tapping thread.

9. A graft anchor assembly for securing a graft to a bone having a tunnel formed therein, comprising:

a body member having a first end, a second end, and an external screw thread;

graft fixation means secured to said first end of said body member, said graft fixation means being rotatable relative to said body member and including fastening means for enabling the graft to be fixedly attached to said graft fixation means;

means for engaging a driver to enable rotatable placement of said body member in the bone tunnel while said graft fixation means is rotatably secured to said body member and the graft is fixedly attached to said graft fixation means to minimize torquing the graft; and

an insert member positioned in said body member, said insert member having flange means thereon positioned at said first end of said body member for securing said graft fixation means.

10. The anchor assembly of claim 9 wherein said insert member defines therein said means for engaging a driver.

11. The anchor assembly of claim 10 wherein said graft fixation means comprises cylindrical ring means having a rim which extends radially inwardly to slidably engage said insert member, and said ring means defining a central passageway to enable insertion of the driver therethrough to engage said means for engaging.

12. A method of implanting a replacement graft ligament between a patient'"'"'s femur and tibia, said method comprising the steps of:

forming a first tunnel in the tibia;

forming a second tunnel in the femur;

providing an anchor assembly having a body member including an external screw thread and having graft fixation means rotatably secured to an end of said body member;

attaching a first end of the graft ligament to said graft fixation means;

positioning said anchor assembly with the graft ligament attached thereto into the second tunnel by rotating said body member into the second tunnel without substantially imparting rotation to said graft fixation means and the attached graft ligament; and

securing the other end of the graft ligament in the first tunnel or outside the first tunnel on the tibia.