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Adjustable knotless loops

  • US 9,861,351 B2
  • Filed: 04/27/2015
  • Issued: 01/09/2018
  • Est. Priority Date: 04/10/2007
  • Status: Active Grant
First Claim
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1. A method of attaching soft tissue to a bone at a defect site, the method comprising:

  • obtaining a fastener that has a longitudinal axis extending between a proximal end and a distal end of the fastener with an adjustable loop of a flexible construct being offset from a longitudinal interior bore of a fastener, wherein the adjustable loop being offset from the longitudinal interior bore includes the flexible construct;

    (i) entering the fastener through a first opening in the proximal end of the fastener which leads to the longitudinal interior bore;

    (ii) extending along the longitudinal interior bore;

    (iii) extending along a transverse passage in the fastener that connects the longitudinal interior bore to a longitudinal exterior channel that extends along an outer surface of the fastener;

    (iv) exiting the fastener through a second opening in a side wall of the fastener; and

    (v) extending along the longitudinal exterior channel;

    passing the adjustable loop through the soft tissue after releasing the adjustable loop from a driver carrying the fastener;

    passing the fastener back through the adjustable loop to fold the adjustable loop upon itself;

    fixing the fastener to an area adjacent the defect such that the adjustable loop and a proximal end of the fastener abuts the defect; and

    engaging an adjusting arm on the flexible construct to reduce the size of the adjustable loop and to retain the fastener proximal end in abutment with the soft tissue.

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