Method for double row fixation of tendon to bone
First Claim
1. A knotless method of attaching soft tissue to bone, comprising:
- providing a first medial row constructed with a first plurality of fixation devices, wherein the at least one of the first plurality of fixation devices is an anchor;
providing a second lateral row constructed with a second plurality of fixation devices, wherein the at least one of the second plurality of fixation devices is a knotless fixation device, the knotless fixation device comprising a cannulated interference device and an implant containing an aperture, the aperture being configured to capture a flexible member; and
passing the flexible member through the soft tissue and over a lateral portion of the soft tissue, the flexible member being attached at one end to the anchor and secured at an opposite end in a hole in bone by the knotless fixation device without tying a knot, wherein the step of passing the flexible member further comprises;
passing the flexible member through the aperture of the implant;
inserting the flexible member and the implant into the hole; and
advancing the cannulated interference device toward a proximal end of the implant, to engage and lock in the implant with the flexible member in the hole.
1 Assignment
0 Petitions
Reexamination
Accused Products
Abstract
A system and method for soft tissue to bone repair employing at least one suture anchor combined with at least one knotless fixation device. The method for soft tissue to bone fixation includes: (i) providing a first medial row constructed with a first plurality of fixation devices, at least one of the first plurality of fixation devices is an anchor; and (ii) providing a second lateral row constructed with a second plurality of fixation devices, at least one of the second plurality of fixation devices is a knotless fixation device, and suture or tape or allograft/biological component extending over the soft tissue and secured in place by the anchors in the first and second medial rows.
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Citations
29 Claims
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1. A knotless method of attaching soft tissue to bone, comprising:
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providing a first medial row constructed with a first plurality of fixation devices, wherein the at least one of the first plurality of fixation devices is an anchor; providing a second lateral row constructed with a second plurality of fixation devices, wherein the at least one of the second plurality of fixation devices is a knotless fixation device, the knotless fixation device comprising a cannulated interference device and an implant containing an aperture, the aperture being configured to capture a flexible member; and passing the flexible member through the soft tissue and over a lateral portion of the soft tissue, the flexible member being attached at one end to the anchor and secured at an opposite end in a hole in bone by the knotless fixation device without tying a knot, wherein the step of passing the flexible member further comprises; passing the flexible member through the aperture of the implant; inserting the flexible member and the implant into the hole; and advancing the cannulated interference device toward a proximal end of the implant, to engage and lock in the implant with the flexible member in the hole. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 28, 29)
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11. A knotless method of attaching soft tissue to bone, comprising:
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inserting a first anchor through the soft tissue, wherein the first anchor comprises a length of an elongated flexible member secured to the first anchor prior to insertion; inserting the first anchor into the bone; passing the length of the elongated flexible member over the soft tissue; and securing, after said step of passing, the length of the elongated flexible member to a second anchor, wherein the second anchor is a knotless fixation device comprising a cannulated interference device and an implant containing an aperture, the aperture being configured to capture the elongated flexible member, and wherein the step of securing the elongated flexible member further comprises; passing the elongated flexible member through the aperture of the implant; inserting the elongated flexible member and the implant into the hole; and advancing the cannulated interference device toward a proximal end of the implant, to engage and lock in the implant with the elongated flexible member in the hole. - View Dependent Claims (12, 13, 14, 15, 16)
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17. A knotless method of attaching soft tissue to bone, the method comprising:
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inserting a first, second, and third anchor into the bone; fixedly securing a first length of a flexible elongated member over the soft tissue to the first and second anchors; and fixedly securing a second length of the flexible elongated member over the soft tissue to the first and third anchors, wherein at least one of the first and third anchors is a knotless fixation device comprising a cannulated interference device and an implant containing an aperture, the aperture being configured to capture the second length of the elongated flexible member, and wherein the step of securing the elongated flexible member further comprises; passing the second length of the elongated flexible member through the aperture of the implant; inserting the second length of the elongated flexible member and the implant into the hole; and advancing the cannulated interference device toward a proximal end of the implant, to engage and lock in the implant with the second length of the elongated flexible member in the hole. - View Dependent Claims (18, 19)
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20. A knotless method of attaching soft tissue to bone, comprising:
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inserting a first anchor with a length of an elongated flexible member attached thereto through the soft tissue; inserting the first anchor into the bone; inserting a second anchor with no suture attached thereto into bone; passing the length of the elongated flexible member over the soft tissue; and fixedly securing the length of the elongated flexible member to the inserted second anchor. - View Dependent Claims (21, 22, 23, 24)
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25. A method of attaching soft tissue to bone, comprising:
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providing a first medial row constructed with a first plurality of fixation devices, wherein the at least one of the first plurality of fixation devices is an anchor; providing a second lateral row constructed with a second plurality of fixation devices, wherein the at least one of the second plurality of fixation devices is a knotless fixation device comprising a cannulated interference device and an implant containing an aperture, the aperture being configured to capture a flexible member; providing an implant material adjacent the first medial row and adjacent the soft tissue; providing the flexible member attached to the first medial row; and passing the flexible member through the soft tissue and over a lateral portion of the soft tissue to form a structure of multiple passes of said flexible member over the soft tissue, wherein the step of forming the structure of multiple passes further comprises; passing the flexible member through the aperture of the implant; inserting the flexible member and the implant into the hole; and advancing the cannulated interference device toward a proximal end of the implant, to engage and lock in the implant with the flexible member in the hole. - View Dependent Claims (26, 27)
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Specification