Bone suture

• US 6,117,160 A
• Filed: 06/01/1999
• Issued: 09/12/2000
• Est. Priority Date: 02/06/1998
• Status: Expired due to Term

• Current Assignee: Bonutti Skeletal Innovations LLC (Acacia Research Corporation)
• Original Assignee: Peter M. Bonutti
• Inventors: Bonutti, Peter M.
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US09/323,488
• Time in Patent Office: 469 Days
• Field of Search: 606/57, 606/60, 606/215, 606/216, 606/232
• US Class Current: 606/215
• 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 17/1796 for holes for sutures or flexible wires
• CPC Class Codes: A61B 17/683 comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
• CPC Class Codes: A61B 17/82 for bone cerclage apparatus for manipulating wires or straps A61B17/8861; wires, bands or straps other than cerclage A61B17/842
• CPC Class Codes: A61B 2017/0404 Buttons

Abstract

An anchor connected with a suture is moved through a passage between opposite sides of a bone. The anchor is then pivoted to change its orientation. A second anchor is connected with the suture. While tension is maintained in the suture, the suture is secured against movement relative to the anchors. This may be done by tying the suture or by using a suture retainer to hold the suture. A suture retainer may be used in place of the second anchor. The passage may extend across a fracture in the bone. The passage may have either a nonlinear or linear configuration. The passage may be formed by first moving a thin elongated member through the bone. The thin elongated member is then used as a guide for a drill. The thin elongated member is withdrawn from the drill and the suture anchor is moved through a passage in the drill.

Claims

1. A method of treating a fractured bone, said method comprising the steps of positioning a suture to extend through bone on opposite sides of a fracture, transmitting a predetermined force through the suture to a first anchor disposed on a first side of the fracture, and connecting a second anchor disposed on a second side of the fracture with the suture while transmitting the predetermined force through the suture to the first anchor.

2. A method as set forth in claim 1 further including the steps of moving the first anchor through bone disposed on opposite sides of the fracture with the first anchor connected to the suture, said step of moving the first anchor through bone disposed on opposite sides of the fracture is at least partially performed with the first anchor in a first orientation, changing the orientation of the first anchor from the first orientation to a second orientation after having performed said step of moving the first anchor through bone disposed on opposite sides of the fracture and prior to performance of said step of transmitting a predetermined force through the suture to the first anchor.

3. A method as set forth in claim 1 further including the steps of moving a tubular member through bone disposed opposite sides of the fracture, and moving the first anchor through the tubular member with the suture connected with the first anchor.

4. A method as set forth in claim 3 further including the step of removing the tubular member from the bone after having performed said step of moving the first anchor through the tubular member.

5. A method as set forth in claim 3 wherein said step of transmitting a predetermined force through the suture to the first anchor is performed with the tubular member extending through bone on opposite sides of the fracture.

6. A method as set forth in claim 1 wherein said step of connecting a second anchor with the suture includes deforming the material of the second anchor to grip the suture at a location disposed on the second side of the fracture.

7. A method as set forth in claim 1 wherein said step of connecting a second anchor with the suture includes tying a knot in the suture.

8. A method as set forth in claim 1 wherein said step of connecting a second anchor with the suture includes deforming the second anchor to grip the suture while transmitting the predetermined force through the suture to the first anchor.

9. A method as set forth in claim 1 further including the step of forming a pas sage which extends through bone on opposite sides of the fracture, said step of positioning a suture to extend through bone disposed on opposite sides of the fracture includes moving the first anchor through the passage with the suture connected with the first anchor.

10. A method as set forth in claim 1 further including the step of pressing the first anchor against an outer side surface of the bone on the first side of the fracture with the predetermined force which is transmitted through the suture.

11. A method as set forth in claim 10 further including the step of pressing the second anchor against an outer side surface of the bone on the second side of the fracture under the influence of force transmitted through the suture to the second anchor.

12. A method as set forth in claim 1 wherein the suture has;

first and second sections which extend from the first anchor and across the fracture to the second anchor, said step of transmitting a predetermined force through the suture includes tensioning the first and second sections of the suture.

13. A method as set forth in claim 1 wherein the suture has;

a single section which extends from the first anchor and across the fracture to the second anchor, said step of transmitting a predetermined force through the suture includes tensioning the single section of the suture.

14. A method as set forth in claim 1 wherein said step of connecting a second anchor with the suture includes transmitting force from the second anchor to body tissue other than the bone and transmitting force from the body tissue to the bone.

15. A method as set forth in claim 1 further including the step of forming a nonlinear passage which extends through bone on opposite sides of the fracture, said step of positioning a suture to extend through bone on opposite sides of the fracture includes moving the anchor through at least a portion of the nonlinear passage with the suture connected with the anchor.

16. A method as set forth in claim 1 wherein said step of transmitting a predetermined force through the suture to a first anchor includes pressing the first anchor against body tissue disposed between an outer side surface of the bone on the first side of the fracture and the first anchor.

17. A method comprising the steps of moving an anchor into body tissue through a surface on the body tissue while the anchor is disposed in a first orientation relative to the body tissue and is connected with a suture, thereafter, changing the orientation of the anchor from the first orientation to a second orientation relative to the body tissue while the suture extends through the surface on the body tissue, tensioning the suture to transmit a predetermined force through the surface on the body tissue to the anchor while the anchor is in the second orientation relative to the body tissue, and connecting a suture retainer with the suture while tensioning the suture to transmit the predetermined force to the anchor.

18. A method as set forth in claim 17 wherein the body tissue is a fractured bone, said step of moving the anchor into body tissue includes moving the anchor from a location disposed on a first side of the fracture to a location disposed on a second side of the fracture.

19. A method as set forth in claim 17 wherein said step of connecting a suture retainer with the suture while tensioning the suture includes deforming the suture retainer under the influence of force applied against the suture retainer.

20. A method as set forth in claim 17 further including the step of pressing the suture retainer against the body tissue while performing said step of connecting the suture retainer with the suture.

21. A method as set forth in claim 17 wherein said step of changing the orientation of the anchor form the first orientation to a second orientation includes pivoting the anchor from the first orientation in which a central axis of the anchor extends along a path of movement of the anchor into the body tissue to the second orientation in which the central axis of the anchor extends transverse to the path of movement of the anchor into the body tissue.

22. A method as set forth in claim 17 further including the step of moving the anchor through the body tissue to a location on a side of the body tissue opposite to a side of the body tissue where the anchor was moved into the body tissue, said step of changing the orientation of the anchor from the first orientation to the second orientation being at least partially performed while the anchor is disposed adjacent the side of the body tissue opposite from the side of the body tissue where the anchor was moved into the body tissue.

23. A method as set forth in claim 17 wherein the body tissue is bone, said step of moving the anchor into body tissue includes moving the anchor into a passage which is formed in he bone.

24. A method as set forth in claim 23 wherein the passage formed in the bone extends through the bone between opposite sides of the bone, said method further includes the step of moving the anchor out of the passage formed in the bone, said step of changing the orientation of the anchor from the first orientation to the second orientation is at least partially performed after moving the anchor out of the passage formed in the bone.

25. A method as set forth in claim 23 further including the step of pressing the anchor against body tissue formed by the bone under the influence of the predetermined force transmitted to the anchor by tensioning the suture.

26. A method as set forth in claim 25 wherein said step of pressing the anchor against body tissue formed by the bone includes pressing the anchor against an outer side surface of the bone.

27. A method as set forth in claim 17 wherein said step of connecting the suture retainer with the suture includes looping the suture around a portion of the suture retainer.

28. A method as set forth in claim 17 wherein the suture includes a first section which extends between the anchor and the suture retainer and a second section which extends between the anchor and the suture retainer, said step of connecting the suture retainer with the suture includes;

connecting the suture retainer with the first and second sections of the suture.

29. A method as set forth in claim 28 wherein said step of connecting the suture retainer with the suture includes looping the first and second sections of the suture around the suture retainer.

30. A method as set forth in claim 29 wherein said step of connecting the suture retainer with the suture includes deforming material of the suture retainer to grip the first and second sections of the suture.