Method and apparatus for interosseous membrane reconstruction

• US 8,506,597 B2
• Filed: 10/25/2011
• Issued: 08/13/2013
• Est. Priority Date: 10/25/2011
• Status: Active Grant

• Current Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Sports Medicine LLC (Zimmer Biomet Holdings, Inc.)
• Inventors: Kaiser, Ryan A., Stone, Kevin T.
• Primary Examiner(s): Dornbusch, Dianne
• Application Number:
  US13/281,016
• Publication Number:
  US 20130103082A1
• Time in Patent Office: 658 Days
• Field of Search: 606/232, 606/300, 623/13.11, 623/13.14, 623/13.19, 623/13.2, 623/20.32
• 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 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 17/06004 Means for attaching suture to needle tipping A61B17/06195; connecting wire to other metallic objects B21F15/00
• CPC Class Codes: A61B 17/17 Guides or aligning means for drills , mills, pins or wires
• CPC Class Codes: A61B 17/1717 for applying intramedullary nails or pins
• CPC Class Codes: A61B 17/1796 for holes for sutures or flexible wires
• CPC Class Codes: A61B 17/56 Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
• CPC Class Codes: A61B 2017/0404 Buttons
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors
• CPC Class Codes: A61B 2017/0414 having a suture-receiving opening, e.g. lateral opening
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2017/06042 located close to needle tip
• CPC Class Codes: A61B 2017/564 Methods for bone or joint treatment

Abstract

A method for repairing a defect in an interosseous membrane located between a first bone and a second bone. The method includes: coupling a flexible member to the first bone and the second bone, the flexible member extending past a first area of the interosseous membrane between the first bone and the second bone; and orienting the flexible member such that the flexible member extends generally parallel to fibers of the first area of the interosseous membrane.

Claims

1. A method for repairing a defect in an interosseous membrane located between a first bone and a second bone comprising:

coupling a flexible member to the first bone and the second bone, the flexible member extending past a first area of the interosseous membrane between the first bone and the second bone; and

orienting the flexible member such that the flexible member extends generally parallel to fibers of the first area of the interosseous membrane.

2. The method of claim 1, wherein the first bone is a radius and the second bone is an ulna, and the flexible member extends through the interosseous membrane.

3. The method of claim 1, further comprising anchoring the flexible member to the first bone with a first anchor and anchoring the flexible member to the second bone with a second anchor.

4. The method of claim 1, further comprising coupling a first portion of the flexible member to the first bone and the second bone, the first portion of the flexible member extending past the first area of the interosseous membrane generally parallel to the fibers of the first area of the interosseous membrane;

and

coupling a second portion of the flexible member to the first bone and the second bone, the second portion of the flexible member extending past the first area of the interosseous membrane.

5. The method of claim 4, further comprising coupling the first portion of the flexible member to the first bone with a first anchor and coupling the second portion of the flexible member to the first bone with a second anchor;

wherein the first portion of the flexible member extends through the first area of the interosseous membrane and the second portion of the flexible member extends through a second area of the interosseous membrane.

6. The method of claim 4, wherein the second portion of the flexible member extends generally through the first area perpendicular to a longitudinal axis of the interosseous membrane.

7. The method of claim 1, further comprising drilling a bore that extends through the first bone, past the first area of the interosseous membrane, and through the second bone, the bore is orientated such that it extends generally parallel to fibers of the first area of the interosseous membrane;

and

inserting the flexible member through the bore prior to coupling the flexible member to the first bone and the second bone, the flexible member is threaded through the bore with a pin, cooperation between the flexible member and the pin is provided with a hook of the pin.

8. The method of claim 1, wherein the flexible member is a self-locking suture construct including a braided suture with a sleeve portion that defines a first opening and a second opening, a first end of the braided suture extends through both the first opening and the second opening, and a second end of the braided suture extends through both the first opening and the second opening.

9. A method for repairing a defect in an interosseous membrane located between a first bone and a second bone comprising:

orienting a first suture portion such that the first suture portion extends generally parallel to fibers of a first area of the interosseous membrane;

coupling the first suture portion to the first bone and the second bone, the first suture portion extending past the first area of the interosseous membrane between the first bone and the second bone; and

coupling a second suture portion to the first bone and the second bone, the second suture portion extending past the first area of the interosseous membrane between the first bone and the second bone.

10. The method of claim 9, further comprising orienting the second suture portion such that the second suture portion extends generally perpendicular to a longitudinal axis of the interosseous membrane, coupling the first suture portion such that it extends through the first area of the interosseous membrane, and coupling the second suture portion such that it extends through the first area of the interosseous membrane.

11. The method of claim 9, further comprising orienting a third suture portion such that the third suture portion extends generally parallel to fibers of a second area of the interosseous membrane and extends generally oblique to fibers of the first area of the interosseous membrane;

and

coupling the third suture portion to the first bone and the second bone, the third suture portion extending past the second area of the interosseous membrane between the first bone and the second bone.

12. The method of claim 9, further comprising coupling the first suture portion to the first bone with an anchor seated on an exterior surface of the first bone, a first end of the suture portion and a second end of the suture portion are pulled to tension the first suture portion and tighten the first suture portion against the first bone.

13. The method of claim 9, further comprising coupling the first suture portion to the first bone with an anchor recessed within an exterior surface of the first bone.

14. The method of claim 9, further comprising coupling the first suture portion to the first bone with a soft, self-locking anchor.

15. The method of claim 9, further comprising coupling the first suture portion to the first bone with a rigid anchor.

16. The method of claim 9, further comprising:

positioning a first drill guide on the first bone to drill a first hole and a second hole in each of the first bone, the interosseous membrane, and the second bone;

positioning a second guide on the first bone to guide one flexible pin through both the first hole and the second hole; and

inserting the first suture portion through the first hole and the second suture portion through the second hole.

17. The method of claim 9, wherein the first suture portion and the second suture portion are each included in a single suture.

18. The method of claim 9, wherein the first suture portion and the second suture portion are each included on different sutures.