Method for modifying the length of a ligament

• US 5,954,716 A
• Filed: 02/19/1998
• Issued: 09/21/1999
• Est. Priority Date: 02/19/1997
• Status: Expired due to Fees

• Current Assignee: Oratec Interventions Incorporated
• Original Assignee: Oratec Interventions Incorporated
• Inventors: Sharkey, Hugh R., Fanton, Gary S.
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US09/025,984
• Time in Patent Office: 579 Days
• Field of Search: 606/27, 606/28, 606/29, 606/30, 606/31, 606/32, 606/33, 606/34, 606/41, 606/73, 606/79, 606/80, 606/86, 606/92, 606/93
• US Class Current: 606/32
• CPC Class Codes: A61B 18/148 having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2018/00654 with individual control of each of a plurality of energy emitting elements
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61N 1/40 Applying electric fields by inductive or capacitive coupling microwave apparatus A61N5/00; Applying radio-frequency signals

Abstract

A method for modifying a ligament connection between two bones by applying radio frequency energy to a portion of a ligament in a patient that functions to maintain two or more bones in a standard configuration in a species to which the patient belongs, but which are in a relationship to each other that is not medically acceptable in the patient, for a time sufficient to induce thermal shrinkage of the portion of the ligament. The method is particularly useful for skeletal-shift disorders by applying radio frequency energy to one ligament of a set of ligaments of a patient that function to align two or more bones in a standard configuration in a species to which the patient belongs but which are causing a skeletal shift in the patient because of an imbalance of ligament-induced forces in the patient for a time sufficient to induce thermal shrinkage of the portion of the ligament, thereby alleviating the skeletal shift. Patellar shift and curvature of the spine are two examples of such disorders.

Claims

1. A method for modifying a ligament connection between two bones, comprising:

(1) applying radio frequency energy to a portion of a ligament in a patient that functions to maintain two or more bones in a standard configuration in a species to which said patient belongs but which bones are in a relationship to each other that is not medically acceptable in said patient for a time sufficient to induce thermal shrinkage of said portion of said ligament, and

(2) maintaining tension in said ligament less than that necessary to stretch said portion of said ligament subjected to thermal shrinkage until said portion has regained sufficient strength to maintain said bones in said standard configuration.

2. The method of claim 1, wherein said ligament is a surgical graft ligament and said thermal shrinkage is applied in a process of stretching said ligament after attachment of said graft ligament to said bones.

3. The method of claim 1, wherein said ligament is a natural ligament.

4. The method of claim 1, wherein said radio frequency energy is applied to said ligament arthroscopically.

5. The method of claim 4, wherein applying said energy arthroscopically comprises providing an insulated probe having an electrode in a distal portion thereof, introducing said probe into a body cavity adjacent said ligament, and applying said energy through said electrode to said ligament.

6. The method of claim 1, wherein energy is applied to said ligament by two electrodes positioned on opposite sides of said ligament.

7. The method of claim 1, wherein said tension is maintained below that necessary to stretch said portion of said ligament by tension-relieving sutures in said ligament.

8. The method of claim 1, wherein said tension is maintained below that necessary to stretch said portion of said ligament by maintaining said bones in a substantially fixed position.

9. The method of claim 1, wherein said method further comprises releasing tension on said ligament being treated by a surgical incision to a ligament not being concurrently treated.

10. A method for treating ligament-induced skeletal shift, comprising:

applying radio frequency energy to a portion of one ligament of a set of ligaments of a patient that function to align two or more bones in a standard configuration in a species to which said patient belongs but which are causing a skeletal shift in said patient because of an imbalance of ligament-induced forces in said patient for a time sufficient to induce thermal shrinkage of said portion of said ligament, thereby alleviating said skeletal shift.

11. The method of claim 10, wherein said skeletal shift is patellar shift and a medial ligament is shortened.

12. The method of claim 10, wherein said skeletal shift is a twisting of the spinal column of said patient and said ligament is attached to two or more vertebrae of said spinal column.