Continuous phase compositions for ACL repair
First Claim
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1. A method of fixation of a ligament for ACL reconstruction using a bioabsorbable interference screw comprising a bioabsorbable structure material, the bioabsorbable interface screw having a composite portion and a tool engagement area coupled to a proximal end thereof;
- the composite area including;
a plurality of interconnecting pores formed in a ceramic structure,a volume of bioresorbable polymer filling at least a portion of said plurality of interconnecting pores in the ceramic structure, andan elongated threaded body having the proximal end, distal end, a length between the proximal end and the distal end, and a taper along the length, wherein the threaded body includes threads along the length and the taper extends along substantially the entire length of said bioabsorbable interference screw from said proximal end to said distal end;
the tool engagement area comprising a second volume of the bioresorbable polymer, the tool engagement area being configured to engage with a tool for engaging the threads of the screw to a wall of a tunnel;
said method comprising;
forming the tunnel in a femur, said tunnel having the wall;
inserting a ligament in said tunnel and inserting said bioabsorbable interference screw into the tunnel such that said elongated threaded body fills at least a portion of said tunnel;
engaging said threads at the proximal end of said bioabsorbable interference screw into cortical bone in said tunnel; and
securely affixing said ligament between said threads of said bioabsorbable interference screw and said wall of said tunnel.
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Abstract
An implantable interference screw for use in a soft tissue repair, the screw having a bioresorbable body comprising a plurality of interconnected pores, the body having an instrument interface in one end and a thread around an exterior of the body starting from distal end. The plurality of interconnected pores of the resorbable body are substantially filled with a bioresorbable polymer.
128 Citations
19 Claims
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1. A method of fixation of a ligament for ACL reconstruction using a bioabsorbable interference screw comprising a bioabsorbable structure material, the bioabsorbable interface screw having a composite portion and a tool engagement area coupled to a proximal end thereof;
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the composite area including; a plurality of interconnecting pores formed in a ceramic structure, a volume of bioresorbable polymer filling at least a portion of said plurality of interconnecting pores in the ceramic structure, and an elongated threaded body having the proximal end, distal end, a length between the proximal end and the distal end, and a taper along the length, wherein the threaded body includes threads along the length and the taper extends along substantially the entire length of said bioabsorbable interference screw from said proximal end to said distal end; the tool engagement area comprising a second volume of the bioresorbable polymer, the tool engagement area being configured to engage with a tool for engaging the threads of the screw to a wall of a tunnel; said method comprising; forming the tunnel in a femur, said tunnel having the wall; inserting a ligament in said tunnel and inserting said bioabsorbable interference screw into the tunnel such that said elongated threaded body fills at least a portion of said tunnel; engaging said threads at the proximal end of said bioabsorbable interference screw into cortical bone in said tunnel; and securely affixing said ligament between said threads of said bioabsorbable interference screw and said wall of said tunnel. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A method of fixation of a ligament for ACL reconstruction, comprising:
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forming a tunnel in a femur, said tunnel having a wall; inserting a ligament in said tunnel; selecting a bioabsorbable interference screw having a tool engagement area molded to a proximal end of a composite area, said composite area having a bioabsorbable structure material with a plurality of interconnecting pores and a first volume of a bioresorbable polymer filling at least a portion of said plurality of interconnecting pores, said composite area of the bioabsorbable interference screw having an elongated threaded body with threads, the proximal end, a distal end, an entire length from said proximal end to said distal end, and a taper, said threads and said taper of said bioabsorbable interference screw extending along substantially said entire length of said bioabsorbable interference screw; inserting a tool in said tool engagement area in said proximal end, said tool engagement area reinforced with a second volume of said bioresorbable polymer; driving said screw into said tunnel with the tool, wherein said elongated threaded body fills at least a portion of said formed tunnel; and securely affixing said ligament between said threads of said bioabsorbable interference screw and said wall of said tunnel. - View Dependent Claims (11, 12, 13, 14, 15, 16)
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17. A method of fixation of a ligament for ACL reconstruction, comprising:
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forming a tunnel in a bone, said tunnel having a wall; inserting a ligament in said tunnel; selecting a bioabsorbable interference screw having a tool engagement area coupled to a composite area, said composite area having a bioabsorbable structure material with a plurality of interconnecting pores and a volume of bioresorbable polymer filling at least a portion of said plurality of interconnecting pores, wherein at least a sub-plurality of pores of said plurality of interconnecting pores each have an entrance and an exit on a surface of the composite area, further wherein said composite area includes a microporosity and a macroporosity and substantially only said macroporosity is filled with said bioresorbable polymer; inserting a tool in said tool engagement area in said proximal end, said tool engagement area reinforced with a second volume of said bioresorbable polymer; driving said screw into said tunnel using the tool; and securely affixing said ligament between said threads of said bioabsorbable interference screw and said wall of said tunnel. - View Dependent Claims (18, 19)
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Specification