Method for anterior cruciate ligament reconstruction using cross-pin implant with eyelet

• US 6,623,524 B2
• Filed: 06/08/2001
• Issued: 09/23/2003
• Est. Priority Date: 06/09/2000
• Status: Expired due to Term

• Current Assignee: Arthrex Incorporated
• Original Assignee: Arthrex Incorporated
• Inventors: Schmieding, Reinhold
• Primary Examiner(s): YU, JUSTINE ROMANG
• Application Number:
  US09/875,970
• Publication Number:
  US 20010053934A1
• Time in Patent Office: 837 Days
• Field of Search: 623/11.11, 623/13.11, 623/13.12, 623/13.13, 623/13.14, 623/13.19, 623/13.2, 623/20.14, 606/72, 606/96, 606/98, 606/99, 128/898
• US Class Current: 623/13.14
• CPC Class Codes: A61B 17/1675 for the knee
• CPC Class Codes: A61B 17/1714 for applying tendons or ligaments implements for applying tendons or ligaments A61F2/0805
• CPC Class Codes: A61B 17/1764 for the knee
• CPC Class Codes: A61B 17/8645 Headless screws, e.g. ligament interference screws
• CPC Class Codes: A61B 17/8861 Apparatus for manipulating flexible wires or straps devices for inserting Kirschner wires A61B17/1697
• 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 2002/0852 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

Abstract

A surgical implant for securing ligament grafts into a joint. The implant is formed entirely of allograft cortical bone, and has a tapered tip with a suture eye. A length of suture is knotted or looped through the eye. The suture is used to draw the implant transversely through a looped graft construct to fix the graft by spanning a bone socket, for example. In a preferred embodiment, the implant is used for knee ligament repair by forming a longitudinal socket in a bone. A flexible strand is drawn with the pin through the bone. A looped portion of the flexible strand is diverted so as to protrude out of the entrance to the longitudinal socket. The ends of the flexible strand remain accessible on either side of the bone. The ligament graft is captured within the strand loop protruding from the entrance to the socket. The strand is retracted into the socket, drawing the graft into the socket by pulling on the accessible ends of the flexible strand. The graft is fixed in the socket using the transverse implant.

Claims

1. A method of surgery comprising the steps of:

forming an opening having side walls in a bone;

forming a transverse hole through the side walls of the bone;

inserting a graft having a loop into the opening;

inserting a flexible strand through an eye formed in a distal end of an implant;

pulling the implant through the transverse hole formed through one of the side walls and into the opening by pulling on the flexible strand; and

fixating the graft in the opening by drawing the implant through the loop of the graft by pulling on the flexible strand, such that the implant spans the opening and is supported by the side walls of the bone.

2. The method of claim 1, wherein the implant has a blunt proximal end, and the step of fixating the graft further includes the step of impacting the blunt proximal end of the implant.

3. The method claim 1, wherein the distal end of the implant is tapered.

4. The method of claim 1, wherein the eye of the implant is formed by drilling a hole through the tip of the implant.

5. The method of claim 1, wherein the implant is made entirely of allograft cortical bone.

6. The method of claim 1, wherein the implant is made from a single piece of allograft material.

7. The method of claim 1, wherein a shaft of the implant is cylindrical.

8. The method of claim 1, wherein the flexible strand comprises suture.

9. The method of claim 8, wherein the distal end of the implant includes channels formed on opposite sides of the implant that accommodate the suture to prevent binding of the suture as the implant is inserted into the bone.

10. The method of claim 1, wherein the implant is formed of synthetic bone material.

11. The method of claim 1, wherein the steps of pulling the implant through the transverse hole formed through one of the side walls and drawing the implant through the loop of the graft are performed by attaching the flexible strand to a pin, and pulling the pin through the transverse hole.

12. The method of claim 1, further comprising the step of impacting the implant into said one of the side walls of the bone.

13. The method of claim 1, wherein the bone comprises a femur.

14. A method of anterior cruciate reconstruction surgery of the knee, comprising the steps of:

forming an opening in a femur, the opening having an entrance facing a joint of the knee;

forming a transverse hole through a side wall of the femur and into the opening in the femur;

coupling a graft over to a first flexible strand outside of the knee;

lifting the graft through a tunnel in the tibia and into the opening of the femur by pulling on the first flexible strand; and

securing the graft in the opening of the femur by advancing an implant provided with an eye transversely into the opening and under the graft, by pulling on a second flexible stand inserted through the eye of the implant.

15. The method of claim 14, wherein the implant has a blunt proximal end, and the step of fixating the graft further includes the step of impacting the blunt proximal end of the implant.

16. The method of claim 14, wherein die second flexible strand comprises suture.

17. The method of claim 14, wherein the implant has a tapered distal end.

18. The method of claim 16, wherein the distal end of the implant includes channels formed on opposite sides of the implant that accommodate the suture inserted trough the eye of the implant to prevent binding of the suture as the implant is inserted into the bone.

19. The method of claim 14, wherein the eye of the implant is formed by drilling a hole through a tip of the implant.

20. The method of claim 14, wherein the implant is formed of allograft bone.

21. The method claim 14, wherein the implant is formed of synthetic bone material.

22. The method of claim 14, wherein the step of advancing the implant provided with an eye transversely into the opening and under the graft is performed by attaching the second flexible strand to a pin, and pulling the pin through the transverse hole.