Method and apparatus for rotator cuff repair

• US 6,514,274 B1
• Filed: 02/25/2000
• Issued: 02/04/2003
• Est. Priority Date: 02/25/2000
• Status: Expired due to Term

• Current Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Arthrotek Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: Boucher, James, Kessler, Kevin J.
• Primary Examiner(s): Reip, David O.
• Assistant Examiner(s): DAVIS, DANIEL J
• Application Number:
  US09/512,961
• Time in Patent Office: 1,075 Days
• Field of Search: 606/232, 606/233, 606/69, 623/13.11, 623/13.12, 623/13.13, 623/13.14, 623/19.11, 623/23.11, 623/23.12, 623/23.13, 623/23.14
• US Class Current: 606/232
• 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 17/8061 specially adapted for particular bones A61B17/70 and A61B17/74 take precedence
• CPC Class Codes: A61F 2/0811 Fixation devices for tendons or ligaments
• 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 606/902 Cortical plate specifically adapted for a particular bone

Abstract

A rotator cuff buttress plate adapted to support a load from at least one suture used in securing a rotator cuff relative to a humerus. The rotator cuff buttress plate includes an inner surface, an outer surface, a sidewall and a plurality of apertures. The inner surface is adapted to engage an outer portion of a humerus. The outer surface is opposite the inner surface and is adapted to support the load from at least one suture. The sidewall is positioned between the inner surface and the outer surface. The suture is passed through the at least one aperture to distribute the suture load over the buttress plate.

Claims

1. A method for attaching a rotator cuff to a humerus, said method comprising:

forming a plurality of bone tunnels through the humerus, each having an entrance opening and an exit opening;

positioning the rotator cuff atop the humerus adjacent to the entrance openings of the bone tunnels;

providing a first rotator cuff buttress plate defining a plurality of apertures passing therethrough;

positioning the first rotator cuff buttress plate adjacent to the exit openings of the bone tunnels;

passing a suture through the rotator cuff, a first bone tunnel and a first aperture in the first buttress plate;

providing a second buttress plate positioned atop the rotator cuff and passing the suture through the second buttress plate; and

securing the suture relative to the rotator cuff and the first and second buttress plates.

2. The method as defined in claim 1 further comprising passing the suture through a second aperture in the first buttress plate, a second bone tunnel, and through the rotator cuff.

3. The method as defined in claim 2 wherein securing the suture relative to the buttress plate further includes tying the suture atop the buttress plate.

4. The method as defined in claim 1 further comprising forming a bone trough adjacent the entrance openings of the bone tunnels and positioning the rotator cuff within the bone trough.

5. The method as defined in claim 1 wherein providing the first buttress plate further includes providing a first buttress plate having an inner concave surface and an outer convex surface with the inner concave surface mating with an outer portion of the humerus.

6. The method as defined in claim 1 wherein passing the suture through the first and second buttress plates includes passing the suture through slots in the first and second buttress plates.

7. The method as defined in claim 1 wherein passing the suture through the first and second buttress plates includes passing the suture through holes in the first and second buttress plates.

8. A method for attaching a rotator cuff to a humerus, said method comprising:

forming a plurality of bone tunnels through the humerus, each having an entrance opening and an exit opening;

positioning the rotator cuff atop the humerus adjacent to the entrance openings of the bone tunnels;

providing a rotator cuff buttress plate defining a plurality of apertures passing therethrough;

positioning the rotator cuff buttress plate atop the rotator puff and adjacent to the entrance openings of the bone tunnels;

passing a suture through a first aperture in the buttress plate, the rotator cuff, and a first bone tunnel; and

securing the suture relative to the rotator cuff and the buttress plate.

9. The method as defined in claim 8 wherein passing the suture through the buttress plate includes passing the suture through slots in the buttress plate.

10. The method as defined in claim 8 wherein passing the suture through the buttress plate includes passing the suture through holes in the buttress plate.

11. The method as defined in claim 8 further comprises passing the suture through a second aperture in the buttress plate, a second bone tunnel, and through the rotator cuff.

12. The method as defined in claim 11 wherein securing the suture relative to the buttress plate further includes tying the suture atop the buttress plate.

13. The method as defined in claim 8 further comprising forming a bone trough adjacent the entrance openings of the bone tunnels and positioning the rotator cuff within the bone trough.

14. The method as defined in claim 8 wherein providing the buttress plate further includes providing a buttress plate having an inner concave surface and an outer convex surface with the inner concave surface mating with an outer portion of the rotator cuff.