Graft ligament anchor and method for attaching a graft ligament to a bone

• US 6,554,862 B2
• Filed: 09/28/2001
• Issued: 04/29/2003
• Est. Priority Date: 11/27/1996
• Status: Expired due to Term

• Current Assignee: DePuy Synthes Products LLC (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Sklar, Joseph H., Hays, Jo, Contiliano, Joseph, Overaker, David
• Primary Examiner(s): Willse, David H.
• Assistant Examiner(s): Blanco, Javier G
• Application Number:
  US09/966,766
• Publication Number:
  US 20020072797A1
• Time in Patent Office: 578 Days
• Field of Search: 623/13.11, 623/13.14, 623/13.15, 606/72
• US Class Current: 623/13.14
• 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 2002/0835 with deformation of anchor parts, e.g. expansion of dowel by set screw
• CPC Class Codes: A61F 2002/0852 Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
• CPC Class Codes: A61F 2002/0858 Fixation of tendon or ligament between anchor and bone, e.g. interference screws, wedges
• 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: A61F 2002/0888 Anchor in or on a blind hole or on the bone surface without formation of a tunnel

Abstract

A graft ligament anchor comprises a graft ligament engagement member disposed in an opening in a bone, the graft ligament engagement member being arranged to receive a graft ligament alongside the engagement member, and a locking member for disposition in the opening, and at least in part engageable with the graft ligament engagement member. Movement of the locking member in the opening causes the locking member to urge the engagement member, and the graft ligament therewith, toward a wall of the opening, to secure the graft ligament to the wall of the opening. A method for attaching a graft ligament to a bone comprises providing an opening in the bone, inserting the graft ligament and a graft ligament engagement member in the opening, with the graft ligament disposed alongside a first portion of the engagement member, and inserting a locking member in the bone alongside a second portion of the engagement member, the locking member being separated from the graft ligament by the graft ligament engagement member. The method further comprises moving the locking member to cause the locking member to engage the graft ligament engagement member to urge the graft ligament engagement member, and the graft ligament therewith, toward a wall of the opening to secure the graft ligament to the wall of the opening.

Claims

1. A graft fixation device for fixing a graft member within a bone tunnel, the device comprising:

a radially expandable sheath having a side wall, at least one structurally weakened fracture region extending longitudinally along a length of the sheath in the side wall, and a central lumen, the radially expandable sheath sized to fit within a bone tunnel so that a graft member may be accommodated between a wall of a bone tunnel and an outer surface of the radially expandable sheath; and

a sheath expander disposable in the central lumen of the radially expandable sheath to radially expand the sheath so as to fix a graft member within a bone tunnel;

wherein the structurally weakened fracture region is adapted to fracture upon radial expansion of the sheath to allow varying amounts of radial expansion.

2. The graft fixation device of claim 1, wherein the sheath side wall comprises a plurality of longitudinal wall segments separated by structurally weakened fracture regions extending longitudinally along a length of the sheath, each structurally weakened fracture region being adapted to fracture upon radial expansion of the sheath to allow varying amounts of radial expansion.

3. The graft fixation device of claim 2, wherein the longitudinal wall segments have concave outer surfaces.

4. The graft fixation device of claim 3, wherein the longitudinal wall segments include at least one structurally weakened flexion region extending longitudinally along a length of the wall segments, the structurally weakened flexion regions adapted to flex so as to permit the concave outer surfaces of the wall segments to expand outwardly.

5. The graft fixation device of claim 4, wherein the structurally weakened flexion regions are adapted not to fracture upon flexing.

6. The graft fixation device of claim 4, wherein the structurally weakened fracture regions are adapted to flex prior to fracturing upon radial expansion.

7. The graft fixation device of claim 4, wherein each longitudinal wall segment includes two structurally weakened flexion region extending longitudinally along a length of the wall segment, thereby dividing the wall segment into three rigid, longitudinal wall subsegments connected to each other by structurally weakened flexion regions.

8. The graft fixation device of claim 2, wherein the wall segments circumscribe the central lumen.

9. The graft fixation device of claim 8, wherein four wall segments circumscribe the central lumen.

10. The graft fixation device of claim 1, wherein the structurally weakened fracture regions are regions that are more thin than other side wall regions.

11. The graft fixation device of claim 1, wherein the structurally weakened fracture regions comprise grooves formed in the side wall.

12. The graft fixation device of claim 1, wherein the sheath expander is a tapered screw.

13. The graft fixation device of claim 12, wherein the sheath expander has a largest circumference that is at least as large as a larges outer circumference of the radially expandable sheath in an unexpanded state.

14. A graft fixation device for fixing a graft member within a bone tunnel, the device comprising:

a radially expandable sheath having a side wall comprising a plurality of longitudinal side wall segments separated by convex longitudinal flex regions having convex outer surfaces, the radially expandable sheath being sized to fit within a bone tunnel and defining a central lumen;

each side wall segment being flexible and having a concave outer surface adapted to enclose a graft member between the concave outer surface and a bone tunnel wall; and

a sheath expander disposable in the central lumen of the radially expandable sheath to flex the convex longitudinal flex regions and the flexible concave wall segments to radially expand the sheath so as to fix a graft member within a bone tunnel.

15. The graft fixation device of claim 14, wherein the flexible side wall segments include at least one longitudinal flexion region extending longitudinally along a length of the wall segments, the longitudinal flexion regions adapted to flex so as to permit the concave outer surfaces of the wall segments to expand outwardly.

16. The graft fixation device of claim 15, wherein the flexible side wall segments include two longitudinal flexion regions that divide the wall segments into three rigid longitudinal side wall subsegments connected by the two longitudinal flexion regions.

17. The graft fixation device of claim 14, wherein the convex longitudinal flex regions are adapted to fracture upon radial expansion of the sheath to allow varying degrees of radial expansion.

18. The graft fixation device of claim 14, wherein the radially expanding sheath includes four longitudinal side wall segments.

19. The graft fixation device of claim 14, wherein the longitudinal side wall segments circumscribe the central lumen.

20. The graft fixation device of claim 14, wherein the sheath expander is a tapered screw.

21. The graft fixation device of claim 20, wherein the sheath expander has a largest circumference that is at least as large as a larges outer circumference of the radially expandable sheath in an unexpanded state.