CN105208970B - For the stent of spring ligament reparation - Google Patents
For the stent of spring ligament reparation Download PDFInfo
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- CN105208970B CN105208970B CN201480027708.4A CN201480027708A CN105208970B CN 105208970 B CN105208970 B CN 105208970B CN 201480027708 A CN201480027708 A CN 201480027708A CN 105208970 B CN105208970 B CN 105208970B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0811—Fixation devices for tendons or ligaments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06166—Sutures
- A61B2017/06185—Sutures hollow or tubular
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0811—Fixation devices for tendons or ligaments
- A61F2002/0847—Mode of fixation of anchor to tendon or ligament
- A61F2002/0852—Fixation of a loop or U-turn, e.g. eyelets, anchor having multiple holes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0811—Fixation devices for tendons or ligaments
- A61F2002/0876—Position of anchor in respect to the bone
- A61F2002/0882—Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone
Abstract
Disclose the construct that can be used to repair or substitute natural ligament.The construct can be formed by bio-compatible and/or the material of absorption.The construct can be set or be connected to flexible anchor log to be connected to bone parts.
Description
Technical field
The disclosure relates in general to ligament reparation and/or reinforcer more particularly to is configured to substitute or strengthen in foot
Spring ligament reinforcement construct.
Background technology
The part provides the background information related with the disclosure, is not necessarily the prior art.
Spring ligament is by the dissection ligament of each several part interconnection of foot.Usually, spring ligament can will at least nut bone
It is interconnected with calcaneum.However, each branch of spring ligament can also extend that calcaneum is connected or is interconnected with first cuneiform bone.
It can cause various problems, such as flatfoot deformity for the damage of spring ligament.It is general for the damage of spring ligament
It cannot be diagnosed to be or repair before various subsidiary issues itself presentation, such as flatfoot deformity.Therefore, repair in spring ligament
Defect can enable the various slight illness of prevention.
The content of the invention
This part provides the general introductions of disclosure, are not its gamut or the comprehensive disclosure of its whole feature.
Ligament construct can be made into ligament selected by reparation or replacement.For example, spring ligament replacing part or reinforcer can
To include synthesizing stent, which, which can form or be manufactured into, usually substitutes spring ligament.Synthesize stent can by polyester,
Polyethylene, absorbable material or its combination are formed.Synthesis stent can be formed by the polyester or polythene material weaved or woven, should
Material is formed as substituting the selected construction or shape of spring ligament.
Selected suture archon assembly and clamping system, which can be used to fix ligament reinforcer and the anatomical structure, to be connected
It connects.For example, JuggerknotTMFlexible anchor log or suture anchor log can be used to provide the anchor in neighbouring osteogenic section or osteogenic section
Determine part.It is alternatively possible to use ToggleLocTMHard suture anchor log.Such as ZiploopTMThe seam of suture clamping system
Zygonema clamping system can be used to stent being drawn in bone, and reinforcer, and Juggerknot are tensioned compared with boneTMAnchoring system is used
To be anchored construct.It will be appreciated, however, that clamping system can be used in combination with any suitable anchor log, such as interface
Screw or other bone anchor systems.
Stent can be substituted for spring ligament.For example, user, which can confirm that, from bone parts tears or removes spring ligament
And confirm the needs substituted for reinforcer or ligament.Spring ligament construct then can compared with bone fixation, such as by means of
Help appropriate anchor log and clamping system.Anchor log can include JuggerknotTMFlexible anchor log system.Then, the structure
Build that body can be kept to be operated compared with bone and/or the rest part fixed to spring ligament is with assistant reinforcement
Remaining spring ligament part.
By provided herein is explanation, other application field will be apparent.Explanation in the overview section and specific
Example is meant only to the purpose illustrated, and is not intended to limitation the scope of the present disclosure.
Description of the drawings
Attached drawing described herein to selected embodiment rather than whole possible realizations merely to carrying out example and saying
Bright purpose is not intended to limitation the scope of the present disclosure.
Figure 1A is the plan view from above according to the ligament construct being connected with suture of each embodiment；
Figure 1B is the side plan view of the ligament construct for the Figure 1A being connected with suture；
Fig. 2A is the plan view from above according to the ligament construct of each embodiment；
Fig. 2 B are the side plan views of the ligament construct for the Fig. 2A being connected with suture；
Fig. 3 is the plan view from above according to the ligament construct of each embodiment；
Fig. 4 is according to the part of the ligament construct being connected with suture of each embodiment and regarding in detail for anchor log
Figure；
Fig. 5 is the side plan view of people's foot bone, is shown in ligament structure body portion implantation nut bone；
Fig. 6 is the side plan view of people's foot bone, is shown in ligament structure body portion implantation nut bone and calcaneum；
Fig. 7 A are the side plan views of people's foot bone, show in ligament construct implantation nut bone and calcaneum and are tensioned；
Fig. 7 B are the face upwarding views of people's foot bone, show in ligament construct implantation nut bone and calcaneum and are tensioned；
Fig. 8 is according to the side plan view of people's foot bone of each embodiment, shows ligament construct implantation wedge bone, nut bone
With in calcaneum and be tensioned；
Fig. 9 is the plan view from above according to the ligament construct being connected with suture of each embodiment；
Figure 10 be according to the side plan view of people's foot bone of each embodiment, show ligament construct implantation nut bone, away from
In bone and calcaneum and it is tensioned；
Figure 11 is the side plan view of the ligament construct for the Figure 1A being connected with suture；
Figure 12 is the plan view from above according to the ligament construct being connected with suture of each embodiment；
Figure 13 is the plan view from above according to the ligament construct being connected with suture of each embodiment；And
Figure 14 is the side plan view of the ligament construct for the Figure 1A being connected with suture.
Corresponding reference numeral refers to corresponding component in several figures in the accompanying drawings.
Specific embodiment
Exemplary embodiment is described more fully with reference to the drawings.
With reference to figure 1A and Figure 1B, ligament reinforcement or alternative constructions body 20 are shown.Ligament construct 20 can be by such as knitting
The polyester or the selected material of polythene material made or woven are formed.Furthermore it is possible to including or using various absorbable materials
To form construct 20, such as polylactic acid or other selected materials.Construct 20 can be formed by weaving material and/or by selecting class
The solid material of type is formed.According to each embodiment, construct 20 can have minimum resilience or without elasticity.Therefore, exist
During implantation, it can select and maintain the length of construct 20.Moreover, therefore construct 20 can be tensioned and after the implants
Keep tension.
Construct 20 can be included in the designated length 22 extended between first end 24 and second end 26.Both ends 24,26 can
With by the way that center of the terminal region 28 and 30 towards construct 20 is folded to be formed.End 28,30 can fold into construct
On 20 main part 36.End 28,30 can be sutured by mechanism 32,34, sound wave welds or be otherwise fixedly secured to construct
Main part 36 on.The folding of end 28,30 can be formed in the passage near the end 24,26 of construct 20, also referred to as hole
Eye, ring or open area 40 and 42.As discussed herein, passage can engage or tie with suture and/or anchoring members
It closes.
The main part or selected part of construct 20 can have the intensity based on construct 20, rigidity, elasticity etc.
The thickness 44 of each characteristic.Furthermore, it is to be understood that if construct 20 is by braided material, weaving material or other selected material shapes
Into can then reduce under load of the thickness 44 between two eyelet portions 40,42.However, thickness 44 can be knitted by a branch of or multi beam
Producing material material limits.
According to each embodiment, eyelet 40,42 can be formed about suture and including the first suture construct
50 and second suture construct 52 one or more suture constructs；And/or suture construct 50,52 can be formed
In eyelet 40,42 and around construct 20.Suture construct 50 and 52 can be it is separated, but it is essentially identical and with point
From eyelet 40,42 interconnect, for fixing construct 20 compared with selected anatomical structure, as discussed further herein.Seam
Zygonema construct 50,52 can be similar to the suture construct disclosed in the following literature：On 2 21st, 2012 U.S.s authorized
State patent No.8,118,836；On April 28th, 2011, U.S. Patent Application Publication disclosed No.2011/0098727；Or
On April 19th, 2012, U.S. Patent Application Publication disclosed No.2012/0095470；These documents all close by reference
And in this.
Usually, suture construct can include the corresponding anchor log for being formed as pipe 54,56, suture or selected
Filament 58,60 pass through the pipe.When user operates, suture 58,60 can be such that pipe 54,56 is formed as knot or flexible anchoring
Construct 20 is retained in by the anchorage block of part.Anchorage block can be formed on the outer surface of bone or be formed in
In bone surface, as discussed further herein.Suture anchor log can include ZiploopTMConstruct, allow compared with
The sliding tensioning of a part for Ziploop sutures construct positioning and JuggerknotTMAnchor portion, can be by phase
The formation of pipe 54,56 answered.ZiploopTMSuture construct and JuggerknotTMIn flexible anchor portion each by
Biomet companies sell.
Suture 58,60 can further pass through main body or channel part 70,72, wherein each suture construct 50,52
Extend from corresponding channel part 70,72 at suture both ends.Each in suture 50,52 is respectively provided with corresponding channel part
70th, 72 and each corresponding through channel limited through channel part 70,72.Each suture construct 50,52 is further
With both ends 76,78 and 80,82.For each suture construct, first end 76,80 penetrates through channel by the first aperture
And form the first ring and through channel left by the second aperture, second end 78,82 by the 3rd aperture penetrate through channel and
It forms the second ring and through channel is left by the 4th aperture.According to each embodiment, it should be understood that the first aperture and the 3rd hole
Mouth can be the aperture identical with the second aperture and the 4th aperture.Therefore, each channel part can include passing through into channel part
2,3 or 4 of circulation passage or the aperture of selected quantity.User can be operated in suture both ends 76,78 and 80,82
Each flexible anchorage block is formed to collapse corresponding anchor log 54,56 and between two points of anchor log 54 and 56
Tight construct 20, as discussed further herein.
Anchor elements 50,52 including the anchor log 54,56 for being also referred to as pipe can usually include collapsible pipe, this can
Pipe of collapsing is the closed loop of suture material, is formed as tubulose.According to each embodiment, tube assembly 54,56 can be compared with suture
Wire loop or filament 58,60 slide.Although it in short, is draped over one's shoulders in the United States Patent (USP) No.8 being incorporated herein by reference, 118,836
Dew, but suture assemblies 50,52 can include the suture portion 58,60 through the opening 55,57 of corresponding pipe 54,56.
Optionally, suture portion can be pierced by the aperture not being located at opening 55,57 so that the one or both ends of pipe 54,56 are formed
Relaxation end or free end.
Usually, suture portion 58,60 can extend through the corresponding knitted body 70,72 of suture assemblies 50,52
In respective tube 50,56 single or continuous suture filament.Therefore, suture assemblies 50,52 can be manipulated by user
Corresponding pipe 50,56 and by mobile end 76-82 to be tensioned structure compared with the selection area of subject by collapsing
Body 20 is built so as to generate flexible anchor as described herein compared with the corresponding anchor log tensioning construct 20 formed by pipe 54,56
Determine part.Anchor log 54,56 by corresponding suture portion 58,60 or pass through corresponding suture portion 58,60 provide
It collapses under the power of such as tension and flexible block or anchorage block is formed in corresponding region, as discussed further herein.Pass through
It collapses pipe 54,56 compared with the front or adjacent surface of pipe 54,56, pipe 54,56 can form anchor log.
With reference to figure 2A and Fig. 2 B, construct 100 is shown.The total structure of the construct 100 can be similar to construct 20.
For example, construct 100 can be formed by woven selected material, such as polyester or polyethylene.In addition, construct 100 can be by including
Selected material including bioabsorbable material is formed, these materials can be absorbed into over time in selected anatomical structure and
Allow the part of each tissue ingrowth and alternative constructions body 100.
However, construct 100 may be formed as generally elongated, rectangle construct, including from first end 100a to
The length 102 of second end 100b, about 4 centimetres (cm) to about 10cm further comprise 4cm to about 8cm.In addition, construct 100 can
To include the width 104 of about 0.5cm to about 4cm, including about 1-3cm, further comprise about 1cm to about 2cm.As shown in Figure 2 B,
Construct 100 may further include about 0.5 millimeter (mm) to the thickness 106 of about 4mm, further comprise about 1mm to about 3mm.
Construct 100 can include one formed through the thickness 106 of construct 100 from first side to second side
Or multiple holes 110.Hole 110 can select construction and be formed, such as close to the periphery of construct 100.Hole 110 is generally formed in structure
At or near both ends 100a, 100b of body 100.Therefore, end 100a, 100b of construct 100 can be compared with selected anchors
Determine region engagement and be tensioned, as discussed herein.Hole 110 allows selected anchor elements to pass through such as anchor elements
120, as discussed further herein.However, it is also possible to use any appropriate anchor elements, such as construct 50.
Anchor elements 120 can be to pass through one or more through holes 110, and allow to fix structure compared with selected object
Build body 100.Hole 110 can be by such as puncturing, boring, the various technologies or other suitable mechanism of ultrasonic welding or puncture
The through hole for penetrating through construct 100 and being formed.Moreover, through hole 110 can be formed in braiding or the weaving fiber of construct 100
Between.Nevertheless, hole 110 can be penetrated through the whole thickness 106 of construct 100 and formed to allow anchor elements 120
By through hole.
Anchor elements 120 can be following anchor elements, i.e. it includes U.S. as being herein incorporated by reference
Anchor elements disclosed in state's patent 8,118,836.Anchor elements 120 can include being similar to above-mentioned anchor log group
The each several part of part 50,52.In general, anchor elements 120 can include the first collapsible anchor log 122 (also known as managing) and the
Two collapsible anchor logs 124 (also known as managing), they surround or around the single elongated sutures as anchor elements 120
Partial corresponding suture loop 126 and 128 and arrange.As tension is applied in corresponding suture loop 126,128, anchor log
122nd, 124 collapse and can compared with the selected part of subject formed anchorage block, similar to above-mentioned anchor log 54,
56.It should be appreciated that according to selected by user and/or desired by user, corresponding suture anchor log 122,124 can be same
When collapse and/or collapse in the time staggered.
Suture loop 126,128 is the part of suture 130, further comprises suture end 132 and 134.Suture
End can be grasped or be manipulated by user to collapse pipe 122,124 and forms flexibility anchor log.In addition, suture 130 can be worn
The channel part 140 with through channel is crossed, the United States Patent (USP) 8 being herein incorporated by reference as discussed above and such as,
Disclosed in 118,836.Suture end 132,134 can be manipulated and compared with pipe 122,124 movable passageway portions 140.Such as
It is upper described, when the corresponding drum surface (positive surface) of pipe 122,124 against such as bone surface is collapsed, channel part 140
Construct 100 can be tensioned compared with the movement of pipe 122,124 compared with pipe 122,124.Correspondingly, by drawing suture loop
130 end 132,134, construct 100 can be tensioned compared with bone surface, as discussed further herein.
With reference to figure 3, the construct 170 according to each embodiment is shown.Construct 170 can include various sizes, all
Such as length 172, length 172 may be about 3cm to about 10cm, including about 4cm to about 8cm.Construct 170 may further include
Highly 174, include the selected height of about 1cm to about 4cm, including about 2-3cm.Highly 174 can include the master from construct 170
The height or length for the arm 176 and 178 that body portion 180 extends.However, main part 180 can include end 182, the end
It can include the height 184 with about 0.5cm to the size of about 2cm, further comprise the height of about 1cm.
Construct 170 can be structurally similar to construct 20 and 100 as described above.Therefore, construct 170 can be with
Including the arbitrarily selected part with suture and/or anchor elements interconnection.For example, eyelet can be formed in the end of construct
Nearby and/or through hole can penetrate through construct 170 and be formed.The suture construct 52a energy of e.g., including anchor log 56a
It is enough to be combined with by longitudinal folded ends and by it with the eyelet that the fixed structure 183 near first end 182 is fixed to be formed.Suture
Construct can be similar or identical to suture construct 521.It should be appreciated that according to each embodiment, each arm-piece
176th, 178 can include folding and the eyelet and one or more through holes that are formed and the suture construct being respectively self-bonded.
However, construct 170 can include single end 182 and extend from the region at the second end of construct 170
Two arm-piece 176 and 178 gone out.As discussed herein, first end 182 can engage the first osteogenic section or part, and two
Arm-piece 176 and 178 can engage individual osteogenic section or construct as described here.Therefore, in each arm 176,178 and
At one end 182, the suture construct including anchor portion can be connected.The fixation of construct 172 and selected bone parts can be with
Including various suture anchor logs as described above and component 50,52 and 120.Therefore, construct 170 can be compared with being controlled
The selected part for the treatment of person is fixed, similar to fixation as described above or anchor mechanism.
With reference to above-mentioned Figure 1A -1B, referring additionally to Fig. 4, construct 20 or the structure according to each embodiment as described above
Body is built to engage or associate with anchor elements 190.Anchor elements 190 can include rigid fixed component 192, such as
The Toggleloc that Biomet companies sellTMAnchor log.Rigid fixed component 192 can be included in U.S. Patent Application Publication
No.2012/0116452 and United States Patent (USP) No.7, diagram and the fixed component disclosed in 695,503, two documents are by drawing
With being herein incorporated.In addition, anchor log 192 can be connected with each other or associated with suture assemblies 202, similar to above-mentioned suture
Line component 50,52.Suture assemblies 202 can include channel part 204, and continuous suture 206 passes through channel part 204.Continuously
Suture 206 can include through channel part 204 continuous suture loop.Channel part 204 can penetrate through anchor log 192 and shape
Into as shown in Figure 4.
Construct 20 can also form to connect compared with anchor log 192 around filament or the ring portion of suture portion 208
Close construct 20.Construct 20, which can have, to be sutured the end 30 of construct 20 by using suture portion 34 or mutually interconnects
The eyelet 42 for connecing and being formed.Therefore, construct 20 can be kept by suture assemblies 202 compared with anchor log 192.In general,
Anchor log 192 can include elongate arm 220 and for engaging the eyelet of suture assemblies 202 or interconnection 222.
It is understood, therefore, that construct (includes construct 20, construct 100 and construct according to each embodiment
170) can be interconnected with selected anchor log or connecting portion.Connecting portion can include flexible anchor log, such as pass through suture assemblies
50 or the illustrated flexible anchor log of suture anchor elements 120.In addition, hard or rigid fixed component can include figure
Fixed component 192 shown in 4.
According to the ligament construct of each embodiment as described above can compared with the selected position of subject, such as
The foot 300 of subject is set, as shown in Figure 5.The foot 300 of subject can include various dissection bone parts, all
As generally known in the art.For example, foot 300 can include phalanx component 302, metatarsal component 304, inside (tarsal bone,first)
Cubitale 306, nut bone 308, astragalus 310 and calcaneum 312.Foot 300 can be connected with other bone parts such as shin bone and fibula
Or joint connection is formed, such as this field, institute is normally understood.
Referring additionally to Fig. 5, each bone parts of foot 300 can be interconnected with construct, and construct includes structure as described above
Build each embodiment of body.For illustrative purposes, it is illustrated that and discuss construct 20.It is to be understood, however, that construct
100 can use compared with foot 300, including suture assemblies 50,52 and/or anchor log suture assemblies 120, as described above
's.Nevertheless, the selected operation of the spring ligament or reinforcement spring ligament in foot 300, construct 20 are substituted for example
It is discussed further herein.
As shown in figure 5, nut bone 308 can be configured to include through hole 320, anchor log 54 to pass through through hole 320 and can collapse
Contracting forms anchorage block or anchor portion 54 ' on the bone outer surface of nut bone 308 and compared with nut bone 308, such as flexible anchor log.
Anchor portion 54 ' can be defined to be formed in the big block or anchorage block near bone surface.The locking profile of pipe 54 can allow
Anchorage block is formed by applying tension by suture 58.Hole 320 can be formed as at least a portion for allowing construct 20
By and receive in the part in hole 320.It can be by suture assemblies 52 by pulling or being tensioned suture end 76,78
And construct 20 is pulled in hole 320 to realize, construct 20 is pulled or is tensioned in hole 320.The formation in hole 320 with
And construct 20 will combine to the tensioning in hole 320 and be formed with the calcaneum 312 in hole 340 and be discussed further, such as herein into
What one step was discussed.
With continued reference to Fig. 5, calcaneum 312 can the formed therein which hole 340 including multiple diameters.For example, first or small
Brill/pin 342 can to pass through or drill-through calcaneum 312 and form aperture or the first hole path 344.Second or larger drill bit 349 (compared with
Big drill bit 349 can be in a tubular form) it small drill bit 342 can be crossed passes through and forms second or large hole 352.Therefore, penetrate through with
The hole 340 that bone 312 is formed can include first diameter hole 344 and second diameter bore 352.The hole 320 being formed in nut bone 308 can
To include similar major diameter hole portion and minor diameter hole portion.Major diameter hole portion can receive a part for construct 20, and small straight
Footpath hole portion can allow suture construct 50,52 by allowing the corresponding pipe 54,56 to be moved to the second portion of corresponding bone
And compared with the flexible anchor log of its formation.Moreover, because different diameters, shoulder or lug 320a, 340a are formed in accordingly
In hole 320,340.
With reference to figure 6, anchor elements, can be with including the suture anchor elements 52 being connected with the end of construct 20
It is formed through the hole 340 of calcaneum 312 or selected bone parts.Suture assemblies 52 and/or only anchor log 56 can be to pass through hole
340.Appropriate insertion member can interconnect with anchor log 56 and/or suture end 80,82 and push or pull on suture group
Part is by forming the hole 340 to calcaneum 312.However, the construct 20 interconnected with suture anchor elements 52 can be compared with
Calcaneum 312 moves and allows suture anchor elements 52 through the hole 340 for penetrating through calcaneum 312 and being formed.
As shown in fig. 6, construct 20 can be drawn into be formed in the hole 320 in nut bone 308, and by compared with boat
Bone 308 is tensioned anchor log 54, and anchor portion 54 ' can be formed compared with nut bone 308, this is that this field usually understands.So
Afterwards, the hole 340 that suture assemblies 52 may move through perforation calcaneum 312 and be formed, as shown in Figure 6.It is, however, to be understood that
It is that suture assemblies 52 can pass through calcaneum 312 first before suture assemblies 50 pass through nut bone 308.Compared with each
The order that bone parts place anchor log is exemplary, and is not intended to be limited.After the hole 340 of perforation calcaneum 312 is formed,
Suture assemblies 52 can be to pass through calcaneum 312.According to each embodiment, the anchor log including flexible anchor log can be in all choosings
Fixed anchor point is formed on the surface of bone parts.Then, the often end of construct can alternately fasten and be substantially guaranteed that structure
Build the uniform tensioning of body 20.
Suture assemblies 52 usually can be on the direction of arrow 313 by calcaneum 212.Suture assemblies 52 by can
According to appropriate mechanism, suture assemblies 52 such as are pulled through hole 340 or suture assemblies 52 are pushed through hole 340.However,
Usually, anchor log 56 can to pass through Distal cortex bone parts 391a as shown in Figure 7 A and equally as shown in Figure 7 A second
Cortical bone section 391b.Hole 340 can be further formed as both perforation cortical bone section 391a and 391b, and further lead to
Cross the cancellous bone portion 389 between them.
Therefore, flexible anchoring can be formed in the distal exterior surface of the cortical bone section of calcaneum 312 by anchor log 56
Part.Anchor log 56 can be by the way that construct 20 to be drawn in big hole portion 352 to be formed, by manipulating suture filament 80,82
End and form flexible anchor log 56 '.Construct 20 can then be tensioned and be drawn in hole 340.
With continued reference to Fig. 5 and Fig. 6, referring additionally to Fig. 7 A and Fig. 7 B, construct 20, which can be tensioned to, to be formed in nut bone 308
Hole 320 and the hole 340 that is formed in calcaneum 312 in.Hole 320 in nut bone 308 can include big hole portion 320a and small hole portion
320b, the big hole portion 352 and small hole portion 344 formed similar to perforation calcaneum 312.The macropore of 312 the two of nut bone 308 and calcaneum
Portion can include the diameter 352a of such as about 4mm to about 6mm.The small hole portion of 308 the two of calcaneum 312 and nut bone can be included about
The diameter 344a of 2mm to about 4mm.It is to be understood, however, that the hole for penetrating through corresponding bone parts and being formed can be any suitable
The diameter of conjunction is to receive the construct being located in corresponding bore portion and the anchoring members phase with being positioned compared with bone parts
Interaction.
The anchor portion 54 ' formed by pipe 54 and the anchor portion 56 ' formed by pipe 56 can be formed in bone parts
308th, on 312 outer surface, on the outer surface of such as its cortex bone.Anchor portion 54 ', 56 ' can be fixed compared with bone parts
Or anchoring construct 20.Anchor portion 54 ', 56 ' can be defined to be formed in the big block or anchorage block near bone surface.Pipe
54th, 56 locking profile can allow to form anchorage block by applying tension by suture 58,60.Then, construct 20
It can be tensioned and be formed compared with nut bone 308 and the selectively tensioning of the two bones of calcaneum 212 compared with anchor portion 54 ', 56 '
Construct 20 so as to strengthening or substitute spring ligament.
However, flexible anchor log 54 ', 56 ' can be formed in corresponding 308 He of bone parts compared with cancellous bone portion 389
To engage the nearside cortical bone section 391b and 369 of corresponding osteogenic section 308 and 312 in 312.Therefore, flexible anchor log 54 ',
56 ' are not necessarily formed on the outer surface of corresponding osteogenic section 308 and 312 compared with corresponding bone parts 308 and 312 anchoring structure
Build body 20.On the contrary, bone anchor part or construct anchor log can be formed in bone surface to provide construct 20 compared with corresponding
Osteogenic section 308 and 312 fixation.Anchor elements are formed in osteogenic section can form and as described above by such as quoting
28 days April in 2011 that mode is herein incorporated the anchor elements disclosed in U.S. Patent Application Publication 2011/0098727
To be formed.The formation of flexible anchor log 54 ', 56 ' can be substantially similar, and simply flexible anchor log is formed in corresponding osteogenic section
In raceway groove 340 and 320.
Construct 20 can be positioned compared with corresponding bone parts, such as calcaneum 312 and nut bone 308, as discussed above
And illustrated explanation in the various figures, including Fig. 6-7B.Construct 100 can be similarly positioned in two selected bone parts
Between, such as calcaneum 312 and nut bone 308.According to each embodiment, construct 170 can with foot 300 two or more
Bone parts interconnect, as shown in Figure 8.Construct 170, can be compared with including main part 180, arm member 178 and arm member 176
Nut bone 308 and first cuneiform bone 306 are connected or positioned.In addition, the end 182 of main body 180 can be compared with the calcaneum of foot 300
312 positioning.
Construct 170 can such as be stitched compared with the fixation of corresponding bone parts by means of suture anchor log construct
Zygonema anchor log construct 52.Therefore, each end of construct 170 can by means of suture anchor log (such as compared with
First cuneiform bone it is suture anchor log 56a, compared with the suture anchor log 56b of nut bone 308 and compared with calcaneum
312 suture anchor log 56c) it is combined with each bone parts.It is to be understood, however, that each anchor log of fixed component can
To be positioned compared with corresponding osteogenic section, including first cuneiform bone 306, nut bone 308 and calcaneum 312, so as to by 170 phase of construct
It is fixed for each osteogenic section.For example, in addition to anchor log fixed component 190, suture anchor elements 120 can be with structure
Body 170 is interconnected to be anchored compared with selected bone parts, as shown in Figure 4.
It is, therefore, possible to provide strengthen and/or substitute the ligament construct of spring ligament.Therefore, ligament construct can incite somebody to action
The each several part interconnection of foot 300, including calcaneum 312 and nut bone 308.In various embodiments, first cuneiform bone 306 can also phase
It is interconnected for nut bone 308 and calcaneum 312.The interconnection of each bone parts of foot 300 can be provided to strengthen or substitute foot 300
Spring ligament.By interconnecting the corresponding construct of such as construct 170 or construct 20 and spring ligament come further
Strengthen the spring ligament of foot 300.By the way that construct is further sewn onto spring ligament, construct can be provided compared with bullet
The interconnection of spring ligament.For example, construct can be sewn directly to by commonly known suturing skill on spring ligament, such as
By the part threading of spring ligament remaining in appropriate construct and foot 300 or knot.For example, spring ligament can lead to
The part interconnection of nut bone 308 is crossed, and reinforcer can be sewn onto on the spring ligament for remaining attached to bone parts.Therefore, should
Work as understanding, construct as described above can be provided to substitute or strengthen the spring ligament in foot 300.Moreover, according to each
A embodiment, which can interconnect with each bone parts of foot 300, including those described above bone parts.Such as construct 20,
The construct of construct 100 or construct 170 can be substituted or strengthened to be formed to provide by various weavings and forming technique
The appropriate construct of spring ligament in foot 300.
With reference to figure 9 and Figure 10, the deltoid ligament in foot 300 can interconnect shin bone 321 compared with foot 300.Triangle
Ligament can interconnect shin bone 321 compared with calcaneum 312, nut bone 308 and astragalus 322.Shin bone 321, astragalus 322,308 and of nut bone
Calcaneum 312 can be interconnected with construct 350, as shown in Figure 9.Ligament construct 350 can include being similar to as described above tough
Structure the phosphor bodies 350a and 350b formed with construct 20.Therefore, structure phosphor bodies 350a and 350b can be formed as
The generally elongated component extended between first respective end and the second respective end, and can by nonwoven polymer material and/
Or solid material and formed.
According to each embodiment, the first structure phosphor bodies 350a can extend from first end 360, and first end 360 has
It is arrived by folding by the end of the main body by fixed component or system 362 and fixing (for example, being welded via suture or sound wave)
The first eyelet formed on the interior location of main body 350a.The eyelet positioning penetrated through at first end 360 can be the first seam
Zygonema construct 364.First suture construct 364 can be similar to above-mentioned suture construct 50, and herein not into
Row is described in detail.Nevertheless, suture construct 364 can include passing around the suture 368 of channel part 370 and being formed
Collapsible pipe 366, the first suture end 372 and the second suture end 374 are extended from channel part 370.As described above, suture
Line construct 364 can be positioned compared with bone parts, as being discussed further herein, with by drawing or pulling suture end
372 and 374 allow collapsible pipe 366 to form anchorage block.
First structure phosphor bodies 350a can extend to second end 380 from first end 360, and second end 380 also has can be with
By by fixed part 382 at second end 380 fixation ends and the eyelet that is formed.Second suture construct 390 can also
Through the eyelet, the second suture construct includes the collapsible pipe 394 formed around suture 396.Suture 396 can have
The first end 400 and second end 402 for having channel part 398 that the suture passes through and extending from channel part 398.Moreover, seam
Zygonema construct 390 can be used for being tensioned compared with selected bone parts and the first main body 350a of anchoring, such as further discusses herein
It states.
In addition, what is formed through the eyelet at second end 380 or by eyelet at second end 380 can be the second structure
Build phosphor bodies 350b.Second structure phosphor bodies 350b can extend from first end 420, and first end 420 passes through by fixed machine
Terminal part is positioned to have certain distance away from end and forms eyelet by structure 422.Be passed through the eyelet at first end 420 can
To be the 3rd suture construct 430, similar to suture construct 364 and 390.Therefore, suture construct 430 can wrap
The collapsible pipe 432 formed around suture 434 is included, suture 434 passes through channel body or channel part 436, first end 438
Extend with second end 440 from channel body or channel part 436.Further more, by pulling suture ends 438 and 440 will
Collapsible pipe 432 is formed as anchorage block, and suture construct 430 can be used for fixing or being anchored the second main part 350b.
Second structure phosphor bodies 350b can extend to second end 450 from first end 420, and second end 450 can also include
Second eyelet, the second eyelet by end by fixed part 452 by being fixed into away from end certain distance to be formed.4th suture
Construct 460 can also be passed through the eyelet at second end 450.4th suture construct 460 can include being formed in
Collapsible pipe 462 on suture 464.Suture 464 can include channel part 466, suture first end 468 and suture
Line second end 470 is extended from channel part 466.Therefore, by drawing suture ends 468 and 470, Fpir Crevices as described above
Zygonema construct 460 can also be used to form anchorage block.
It is formed at by the way that corresponding suture construct 390,430,460 and 364 is located in corresponding bone parts
In bone raceway groove, strengthen or alternative constructions body 350 can be used for will at least shin bone 321, astragalus 322, nut bone 308 and calcaneum 312 it is mutual
Even.It is not recycled and reused for being formed the aforesaid operations of bone raceway groove, bone raceway groove can be formed in each in bone parts and/or penetrate through
Each bone parts and formed, similar to aforesaid way.Therefore, the first raceway groove 500 can be formed in shin bone 321, collapsible pipe
394 can be formed as the anchorage block 394 ' on the outer surface of shin bone 321.Then, construct 350 it is a part of can be tensioned or
It is drawn in raceway groove 500, as described above.Second raceway groove 520 can penetrate through astragalus 322 and be formed, and collapsible pipe 432 can be formed
For the anchorage block 432 ' on the outer surface of astragalus 322.A part for construct 350 can be tensioned in raceway groove 520, as above institute
It states.Triple channel 530 can be formed in calcaneum 312, and anchorage block 366 ' can be formed by collapsible pipe 366, and construct can be with
It is tensioned in calcaneum 312 or on calcaneum 312, as described above.
4th raceway groove 540 can be formed in interior astragalus or alternately, formed in nut bone 308 (with dotted line 540 '
Display).It will be appreciated, however, that if optional raceway groove 540 ' is formed in nut bone 308, raceway groove 540 can also be formed in away from
In the forepart of bone 322, so as to allow to connect nut bone 308 and astragalus 322.Suture construct can be similar to the anchor shown in Fig. 2 B
Part 120 is determined, so as to allow and be formed in the interconnection of the raceway groove in the forepart of astragalus 322.It will thus be appreciated that construct 350 can be with
It is provided so that multiple bone parts of foot 300 to be interconnected, includes the interconnection of the thigh bone part with such as shin bone 321.Moreover, it should
Understand, the suture construct of various constructions can be provided, so as to allow ligament or tendon construct 350 being fixed to corresponding bone
On part.
With reference to figure 11 and Figure 12, it is illustrated that ligament strengthens or alternative constructions body 600.Ligament construct 600 can basic class
It is similar to those described above construct, all constructs 20 as shown in FIG. 1A and 1B.For example, ligament construct 600 can be by various
Material is formed, such as polylactic acid and/or other absorbable materials.Construct 600 can be formed as weaving, weave or solid material
Material.Moreover, one or more ends 602 of ligament construct 600 can be towards in the mediad of ligament construct 600 or inwardly
Side folds.Therefore, end 602 folds into construct 600 and forms one or more folded portions or region 603.Therefore, structure
The part of doubling can be had by building body 600, in fold domain 603.Fold domain 603 can include the first ring region or eyelet
610 and overlapping region 612.
Folded portion or its at least a portion can be suitable to be attached to by welding point 604 and 606 and/or bookbinding or suture
When on position.End 602, which is folded into the main body of ligament construct 600, can form the first ring region or eyelet 610.It is formed in
In the overlapping region 612 in end 602 in ligament construct 600 is hole 614.Hole 614 can penetrate through ligament construct
It major part 618 and is formed from the lap 620 that end 602 is extended.Therefore, hole 614 can penetrate through ligament structure
Two layers of body 600 and formed.
As shown in figure 12, second end 630 can also fold into ligament construct and be formed and be similar to the first overlay region
Second overlapping region 632 in domain 612.Second through hole 634 also can penetrate through overlapping region 632 and be formed, and such as pass through sound wave
Welding or drilling.Therefore, the hole that the both ends of construct 600 can have perforation wherein and be formed.
Suture construct or its at least a portion, such as suture construct 50 to pass through the first hole 614 or can pass through
Lead to the first hole 614 and formed.Second suture construct 52 can pass through the second hole 634.Therefore, ligament construct 600 can be with
It sets to be similar to the operation of above-mentioned construct 20.However, suture construct 50 and 52 can pass through perforation overlapping
Region 612 and 632 and the hole 614 and 634 that is formed rather than through perforation construct end 602,630 or tough by suture
Overlapping with construct 600 and the eyelet 610 formed.
By providing the hole 614 and 634 of perforation overlapping region, by providing the larger of ligament construct 600 to be pulled through
Quality and width exited or pull off strength to improve.It hole 614 and 634 can be compared with ligament construct 600 and folding eyelet
610 and be formed in any suitable select location, the end of the ligament construct 600 without being formed in overlapping.
With reference to figure 13 and Figure 14, ligament construct 650 is shown.Ligament construct 650 can extend to from first end
Two ends, similar to above-mentioned ligament construct, including those ligament constructs shown in Figure 1A and Figure 1B.Ligament construct
Each end can include at least one eyelet 652 of the eyelet 40 and 42 similar to ligament construct 20.Eyelet 652 can be with class
It is similar to eyelet as described above and is formed, such as the end 654 of suture construct 650 is overlapped or folded and utilized and is welded
It connects or suture element 656 is fixed.The eyelet 652 of ligament construct 650 can be compared with the width of ligament construct 650
650w is circular or curved.
First edge 660 can be folded or rolled up towards the longitudinal center line or longitudinal axis 662 of ligament construct 650.The
Two edges 664 can be also folded or rolled up towards center line 662.First edge 660 and second edge 664 can be outer transverse directions
Edge and longitudinal edge.Each in edge 660,664 can be folded towards the longitudinal center axis 662 of construct 650, such as
Described further herein.It is folded or rolled up size accordingly, with respect to the folding width 650w at rolled-up area and can be less than
Width 650w and width 670 can be included.Width 670 can be less than the folding width as limited in dotted line 672 in fig. 13
650w。
Suture construct 50 can be formed to pass through eyelet 652 or perforation eyelet 652, similar to above for Figure 1A
The suture construct 50,52.It is further understood that, ligament construct 650 can include second end and can have
There are similar eyelet 652 or the eyelet similar to those described above eyelet.Second suture construct can with above for
350 described mode similar mode of construct passes through the second eyelet of ligament construct 650.
The end including eyelet 652 of ligament construct 650 can pass through hole, the hole in such as bone, such as above in figure 6
Illustrated explanation.The width of eyelet area 652 can be decreased to and the eyelet 652 formed by folded edge 660 and 664
Less than the width 650w of ligament construct 650.Therefore, eye portion 652 can be efficiently inserted into the hole being formed in bone.Separately
Outside, volume or folded edge are capable of providing smoother and/or minimize the contact with hole into the edge of profile and make it easy to
Ground passes through hole.The edge rolled and folded can by fixed component, such as suture 680 or other suitable adhesives and protect
It holds in the construction that it is rolled and is folded.Therefore, eyelet 652 can be formed together with ligament construct 650, so as to compared with shape
Into the hole positioning in bone parts and/or it is formed through the hole in bone parts.
It should be appreciated that each embodiment of construct, including above-mentioned eyelet, can be formed with above-mentioned similar fashion and because
Various purposes and exchange.The construct can be used in various purposes, including ligament and/or tendon reparation, reinforcement or replacement.Moreover,
Selected eyelet can be formed for the appropriate ways of selected operation, as understood by those skilled in the art.Moreover, with
Various modes form eyelet and can be used in production, efficiency and/or cost and specific operation.
For purposes of illustration and description, there has been provided the preceding description of embodiment.It is not intended to limit or limits this public affairs
It opens.The each element or feature of specific embodiment are typically not limited to the specific embodiment, but in the appropriate case, it can be mutual
It changes and can be used for selected embodiment, even if carrying out specifically depicted or description.Each element of specific embodiment or
Feature can carry out modification by various modes.These modified examples are not regarded as a departure from the disclosure, and all such improve are intended to wrap
It is contained in the scope of the present disclosure.In terms used herein merely to the purpose of description certain exemplary embodiments, is not intended to
It is limited.As it is used herein, it unless the context clearly dictates, is not otherwise modified with numeral-classifier compound or is modified with " described "
Reference can be intended to equally include plural form.
Claims (21)
1. a kind of system for being connected to subject, including：
Strengthen construct, with first end, wherein the reinforcement construct has fold domain, in the fold domain
The first end is folded extends a length with the center towards the reinforcement construct；
Connection features connect a part for the fold domain so that the first end is inwardly fixed in fixed position
In the reinforcement construct；
First passage is formed completely through the hole of the fold domain；
First suture construct is combined by the first passage with the reinforcement construct；And
First anchor log is combined with the first suture construct, and first anchor log is flexible anchor log；
Wherein described hole due to be formed completely through it is described reinforcement construct folding terminal part and inside portion and be formed through
Strengthen construct material at least two layers, and
Wherein described first suture construct has the channel part for limiting through channel, wherein the first suture construct
First end the through channel is threaded into form the first ring and leave the perforation by the second aperture by the first aperture
Passage, and the second end of the suture construct through channel is threaded by the 3rd aperture with formed the second ring and
The through channel is left by the 4th aperture.
2. system according to claim 1 further comprises：
Second channel in the fold domain is limited to the first table of the inside bound fraction of the reinforcement construct
Face is with the reinforcement construct closer between the first end and the second surface opposite with the first surface.
3. system according to claim 1, wherein the connection features include at least suture.
4. system according to claim 1, wherein the connection features are included at least described in the fixed position the
The ultrasonic welding of one end.
5. system according to claim 1, wherein first anchor log is the first collapsible pipe, be configured to form around
The first anchorage block that the first suture construct combines.
6. system according to claim 1, wherein first anchor log includes elongated member, the elongated member has
Join domain between the first anchor log end and the second anchor log end；
Wherein described elongated member is configured to engage as the first surface and second surface in the hole of neighbouring subject.
7. a kind of reinforcement construct, including：
Construct with first end, wherein the construct has the folding region between folded portion and inward portion
Domain, wherein the center of the first end towards the construct folds inward and the inward portion towards the construct prolongs
It stretches；
Fixed part, wherein the first end is fixed to the internally office of the construct；
First passage is formed completely through the hole of the fold domain between the folded portion and the inward portion,
Described in hole be formed as in the fold domain through the structure at least two layers of material of the construct；
Connecting component is connected to the construct at the first passage；And
Anchor log is connected to connecting portion, wherein the anchor log is configured to the construct being anchored to subject, it is described
Anchor log is the flexible anchor log combined with the connecting portion；
Wherein described connecting portion has the channel part for limiting through channel, wherein the first end of the connecting portion passes through the first aperture
It penetrates through channel and forms the first ring and the through channel is left by the second aperture, the second end of the connecting portion passes through
3rd aperture penetrates the through channel and forms the second ring and leave the through channel by the 4th aperture.
8. reinforcement construct according to claim 7, further comprises：
The second channel limited by the construct, is formed completely through the second hole of the construct, and second hole makes institute
The longitudinal center axis for stating at least one cross side towards the construct of construct is wound.
9. reinforcement construct according to claim 7, wherein the construct is formed by bioabsorbable material.
10. a kind of form the method for strengthening construct, including：
Form the ligament construct that second end is extended to from first end；
The first end close to the ligament construct forms first passage；
The second end close to the ligament construct forms second channel；
The first suture construct is connected with the ligament construct by the first passage；
The second suture construct is connected with the ligament construct by the second channel；
Make each in the first suture construct and the second suture construct with restriction through channel
Channel part, wherein the first end of each suture by the first aperture penetrates the through channel to form the first ring and by
The through channel is left in two apertures, and the second end of each suture penetrates the through channel to form by the 3rd aperture
Two rings and the through channel is left by the 4th aperture；And
First flexible anchor log with the first suture construct is combined and is stitched the second flexible anchor log with described second
Zygonema construct combines.
11. according to the method described in claim 10, wherein close to the ligament construct the first end formed it is described
First passage includes：The first end is folded inwardly into first position towards the center of the ligament construct and is incited somebody to action
The first end is fixed on the first position；And
The second end wherein close to the ligament construct, which forms the second channel, to be included：It is built towards the ligament
The second end is folded inwardly into the second position and the second end is fixed on the second position by the center of body
On.
12. according to the method described in claim 10, wherein close to the ligament construct the first end formed it is described
First passage and second end close to the ligament construct, which form the second channel, to be included being formed from the first side to the
Two sides penetrate through the through hole of the ligament construct.
13. according to the method described in claim 10, wherein the described first flexible anchor log is built with first suture
Body, which combines, to be included：Around the first suture construct combine the first collapsible pipe, and will described second flexibility anchor log
Combined with the second suture construct including：The second collapsible pipe is combined around the second suture construct.
14. according to the method for claim 13, further comprise：
When applying tension by corresponding first suture or the second suture, the described first collapsible pipe is made to collapse and make
The second collapsible pipe is collapsed.
15. extend to the tough of the second end according to the method described in claim 10, wherein being formed from the first end
Band construct includes：It is formed close to the first arm-piece and that the second end extends transverse to the longitudinal axis of the ligament construct
Two arm-piece, the longitudinal axis are limited between the first end and the second end.
16. a kind of reinforcement ligament, including：
Ligament construct extends to second end from first end, has close to first end of the ligament construct
The second channel of the second end of the first passage at end and the close ligament construct；
First suture construct is combined by the first passage with the ligament construct；
Second suture construct is combined by the second channel with the ligament construct；
First flexible anchor log, is combined with the first suture construct；And
Second flexible anchor log, is combined with the second suture construct；
Each in wherein described first suture construct and the second suture construct has restriction through channel
Channel part, wherein the first end of each suture construct penetrates the through channel to form the first ring by the first aperture
And the through channel is left by the second aperture, the second end of each suture construct penetrates described pass through by the 3rd aperture
Circulation passage and form the second ring and the through channel left by the 4th aperture.
17. reinforcement ligament according to claim 16, wherein the institute of the first end close to the ligament construct
It is by the way that the first end is folded inwardly into first position towards the center of the ligament construct and is consolidated to state first passage
It is scheduled on the first position and limits；And
The second channel wherein close to the second end of the ligament construct is by being built towards the ligament
The second end is folded inwardly into the second position and is fixed on the second position and limits by the center of body.
18. reinforcement ligament according to claim 16, wherein the institute of the first end close to the ligament construct
The second channel for stating first passage and the second end close to the ligament construct is by from the first side to the
Two sides penetrate through the through hole of the ligament construct to limit.
19. reinforcement ligament according to claim 16, wherein the described first flexible anchor log is constructed to be formed around institute
The first collapsible pipe of the first anchorage block of the first suture construct combination is stated, the described second flexible anchor log is constructed to shape
Into the second collapsible pipe of the second anchorage block combined around the second suture construct.
20. reinforcement ligament according to claim 16, wherein the ligament construct is included close to second end transverse direction
In the first arm-piece and the second arm-piece that the longitudinal axis of the ligament construct extends, the longitudinal axis is limited to the first end
Between the second end.
21. reinforcement ligament according to claim 16, wherein the ligament construct includes the first ligament construct and the
Two ligament constructs；
Wherein described first ligament construct forms crisscross configuration through the first passage.
Applications Claiming Priority (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201361783976P | 2013-03-14 | 2013-03-14 | |
| US61/783,976 | 2013-03-14 | ||
| US14/095,639 US9918827B2 (en) | 2013-03-14 | 2013-12-03 | Scaffold for spring ligament repair |
| US14/095,614 | 2013-12-03 | ||
| US14/095,639 | 2013-12-03 | ||
| US14/095,614 US9918826B2 (en) | 2006-09-29 | 2013-12-03 | Scaffold for spring ligament repair |
| PCT/US2014/026413 WO2014151766A1 (en) | 2013-03-14 | 2014-03-13 | Scaffold for spring ligament repair |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105208970A CN105208970A (en) | 2015-12-30 |
| CN105208970B true CN105208970B (en) | 2018-06-05 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201480027708.4A Active CN105208970B (en) | 2013-03-14 | 2014-03-13 | For the stent of spring ligament reparation |
Country Status (5)
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| EP (1) | EP2967831A1 (en) |
| CN (1) | CN105208970B (en) |
| AU (1) | AU2014236885B2 (en) |
| CA (1) | CA2906596C (en) |
| WO (1) | WO2014151766A1 (en) |
Families Citing this family (55)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8128658B2 (en) | 2004-11-05 | 2012-03-06 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to bone |
| US7601165B2 (en) | 2006-09-29 | 2009-10-13 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable suture loop |
| US7909851B2 (en) | 2006-02-03 | 2011-03-22 | Biomet Sports Medicine, Llc | Soft tissue repair device and associated methods |
| US8361113B2 (en) | 2006-02-03 | 2013-01-29 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
| US8088130B2 (en) | 2006-02-03 | 2012-01-03 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
| US8298262B2 (en) | 2006-02-03 | 2012-10-30 | Biomet Sports Medicine, Llc | Method for tissue fixation |
| US7905904B2 (en) | 2006-02-03 | 2011-03-15 | Biomet Sports Medicine, Llc | Soft tissue repair device and associated methods |
| US8137382B2 (en) | 2004-11-05 | 2012-03-20 | Biomet Sports Medicine, Llc | Method and apparatus for coupling anatomical features |
| US8118836B2 (en) | 2004-11-05 | 2012-02-21 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
| US7749250B2 (en) | 2006-02-03 | 2010-07-06 | Biomet Sports Medicine, Llc | Soft tissue repair assembly and associated method |
| US8303604B2 (en) | 2004-11-05 | 2012-11-06 | Biomet Sports Medicine, Llc | Soft tissue repair device and method |
| US9801708B2 (en) | 2004-11-05 | 2017-10-31 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
| US9017381B2 (en) | 2007-04-10 | 2015-04-28 | Biomet Sports Medicine, Llc | Adjustable knotless loops |
| US8998949B2 (en) | 2004-11-09 | 2015-04-07 | Biomet Sports Medicine, Llc | Soft tissue conduit device |
| US9078644B2 (en) | 2006-09-29 | 2015-07-14 | Biomet Sports Medicine, Llc | Fracture fixation device |
| US11311287B2 (en) | 2006-02-03 | 2022-04-26 | Biomet Sports Medicine, Llc | Method for tissue fixation |
| US9149267B2 (en) | 2006-02-03 | 2015-10-06 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
| US11259792B2 (en) | 2006-02-03 | 2022-03-01 | Biomet Sports Medicine, Llc | Method and apparatus for coupling anatomical features |
| US8968364B2 (en) | 2006-02-03 | 2015-03-03 | Biomet Sports Medicine, Llc | Method and apparatus for fixation of an ACL graft |
| US8506597B2 (en) | 2011-10-25 | 2013-08-13 | Biomet Sports Medicine, Llc | Method and apparatus for interosseous membrane reconstruction |
| US8597327B2 (en) | 2006-02-03 | 2013-12-03 | Biomet Manufacturing, Llc | Method and apparatus for sternal closure |
| US9271713B2 (en) | 2006-02-03 | 2016-03-01 | Biomet Sports Medicine, Llc | Method and apparatus for tensioning a suture |
| US8771352B2 (en) | 2011-05-17 | 2014-07-08 | Biomet Sports Medicine, Llc | Method and apparatus for tibial fixation of an ACL graft |
| US9538998B2 (en) | 2006-02-03 | 2017-01-10 | Biomet Sports Medicine, Llc | Method and apparatus for fracture fixation |
| US10517587B2 (en) | 2006-02-03 | 2019-12-31 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable loop |
| US8562645B2 (en) | 2006-09-29 | 2013-10-22 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable loop |
| US8652171B2 (en) | 2006-02-03 | 2014-02-18 | Biomet Sports Medicine, Llc | Method and apparatus for soft tissue fixation |
| US8652172B2 (en) | 2006-02-03 | 2014-02-18 | Biomet Sports Medicine, Llc | Flexible anchors for tissue fixation |
| US8801783B2 (en) | 2006-09-29 | 2014-08-12 | Biomet Sports Medicine, Llc | Prosthetic ligament system for knee joint |
| US8574235B2 (en) | 2006-02-03 | 2013-11-05 | Biomet Sports Medicine, Llc | Method for trochanteric reattachment |
| US8936621B2 (en) | 2006-02-03 | 2015-01-20 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable loop |
| US8562647B2 (en) | 2006-09-29 | 2013-10-22 | Biomet Sports Medicine, Llc | Method and apparatus for securing soft tissue to bone |
| US9918826B2 (en) | 2006-09-29 | 2018-03-20 | Biomet Sports Medicine, Llc | Scaffold for spring ligament repair |
| US8500818B2 (en) | 2006-09-29 | 2013-08-06 | Biomet Manufacturing, Llc | Knee prosthesis assembly with ligament link |
| US8672969B2 (en) | 2006-09-29 | 2014-03-18 | Biomet Sports Medicine, Llc | Fracture fixation device |
| US11259794B2 (en) | 2006-09-29 | 2022-03-01 | Biomet Sports Medicine, Llc | Method for implanting soft tissue |
| US8343227B2 (en) | 2009-05-28 | 2013-01-01 | Biomet Manufacturing Corp. | Knee prosthesis assembly with ligament link |
| US9357991B2 (en) | 2011-11-03 | 2016-06-07 | Biomet Sports Medicine, Llc | Method and apparatus for stitching tendons |
| US9357992B2 (en) | 2011-11-10 | 2016-06-07 | Biomet Sports Medicine, Llc | Method for coupling soft tissue to a bone |
| US9381013B2 (en) | 2011-11-10 | 2016-07-05 | Biomet Sports Medicine, Llc | Method for coupling soft tissue to a bone |
| US9370350B2 (en) | 2011-11-10 | 2016-06-21 | Biomet Sports Medicine, Llc | Apparatus for coupling soft tissue to a bone |
| US9757119B2 (en) | 2013-03-08 | 2017-09-12 | Biomet Sports Medicine, Llc | Visual aid for identifying suture limbs arthroscopically |
| US9918827B2 (en) | 2013-03-14 | 2018-03-20 | Biomet Sports Medicine, Llc | Scaffold for spring ligament repair |
| US10136886B2 (en) | 2013-12-20 | 2018-11-27 | Biomet Sports Medicine, Llc | Knotless soft tissue devices and techniques |
| US9615822B2 (en) | 2014-05-30 | 2017-04-11 | Biomet Sports Medicine, Llc | Insertion tools and method for soft anchor |
| US9700291B2 (en) | 2014-06-03 | 2017-07-11 | Biomet Sports Medicine, Llc | Capsule retractor |
| US10039543B2 (en) | 2014-08-22 | 2018-08-07 | Biomet Sports Medicine, Llc | Non-sliding soft anchor |
| US9622738B2 (en) | 2014-09-11 | 2017-04-18 | Arthrex, Inc. | Soft anchor assembly with non-sliding flexible strand and techniques for use |
| FR3031894B1 (en) * | 2015-01-26 | 2019-12-13 | Fournitures Hospitalieres Industrie | DEVICE FOR FIXING A LIGAMENTARY TRANSPLANT |
| US9955980B2 (en) | 2015-02-24 | 2018-05-01 | Biomet Sports Medicine, Llc | Anatomic soft tissue repair |
| US9974534B2 (en) | 2015-03-31 | 2018-05-22 | Biomet Sports Medicine, Llc | Suture anchor with soft anchor of electrospun fibers |
| EP3367966A4 (en) | 2015-10-30 | 2019-07-10 | New York Society for the Relief of the Ruptured and Crippled, Maintaining the Hospital for Special Surgery | Suture sleeve patch and methods of delivery within an existing arthroscopic workflow |
| US11484401B2 (en) | 2016-02-01 | 2022-11-01 | Medos International Sarl | Tissue augmentation scaffolds for use in soft tissue fixation repair |
| US10702260B2 (en) | 2016-02-01 | 2020-07-07 | Medos International Sàrl | Soft tissue fixation repair methods using tissue augmentation scaffolds |
| US20190134269A1 (en) * | 2016-07-06 | 2019-05-09 | Children's Medical Center Corporation | Indirect method of articular tissue repair |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5026398A (en) * | 1988-07-01 | 1991-06-25 | The Minnesota Mining And Manufacturing Company | Abrasion resistant prosthetic device |
Family Cites Families (17)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5108433A (en) * | 1989-08-18 | 1992-04-28 | Minnesota Mining And Manufacturing Company | Tensioning means for prosthetic devices |
| US6174324B1 (en) * | 1998-07-13 | 2001-01-16 | Axya Medical, Inc. | Suture guide and fastener |
| US7416554B2 (en) * | 2002-12-11 | 2008-08-26 | Usgi Medical Inc | Apparatus and methods for forming and securing gastrointestinal tissue folds |
| US7229453B2 (en) * | 2001-01-23 | 2007-06-12 | Ams Research Corporation | Pelvic floor implant system and method of assembly |
| US20040044351A1 (en) * | 2002-08-27 | 2004-03-04 | Gary Searle | Mechanical occluding device |
| FR2850026B1 (en) * | 2003-01-17 | 2007-08-31 | L A R S Laboratoire D Applic E | BIOMIMETIC PROTHETIC LIGAMENT AND PROCESS FOR OBTAINING |
| CN101083954A (en) * | 2004-03-23 | 2007-12-05 | 米尼穆斯外科系统公司 | Devices and methods to treat a patient |
| US8109965B2 (en) | 2004-06-09 | 2012-02-07 | Biomet Sports Medicine, LLP | Method and apparatus for soft tissue fixation |
| US7695503B1 (en) | 2004-06-09 | 2010-04-13 | Biomet Sports Medicine, Llc | Method and apparatus for soft tissue attachment |
| CA2570305C (en) * | 2004-06-14 | 2015-03-10 | Boston Scientific Scimed, Inc. | Systems, methods and devices relating to implantable supportive slings |
| JP4257270B2 (en) * | 2004-07-14 | 2009-04-22 | オリンパス株式会社 | Biological tissue suturing method and biological tissue suturing device |
| US8118836B2 (en) | 2004-11-05 | 2012-02-21 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
| US7749250B2 (en) * | 2006-02-03 | 2010-07-06 | Biomet Sports Medicine, Llc | Soft tissue repair assembly and associated method |
| US9408599B2 (en) | 2006-02-03 | 2016-08-09 | Biomet Sports Medicine, Llc | Method and apparatus for coupling soft tissue to a bone |
| US8562647B2 (en) | 2006-09-29 | 2013-10-22 | Biomet Sports Medicine, Llc | Method and apparatus for securing soft tissue to bone |
| EP2120788B1 (en) * | 2007-01-25 | 2013-11-27 | Arthrex, Inc. | Drill pin for fixation of ligaments using button/loop construct |
| US8858591B2 (en) * | 2007-10-31 | 2014-10-14 | Radi Medical Systems Ab | Method and device for sealing a puncture hole in a bodily organ |
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Patent Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5026398A (en) * | 1988-07-01 | 1991-06-25 | The Minnesota Mining And Manufacturing Company | Abrasion resistant prosthetic device |
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| CA2906596A1 (en) | 2014-09-25 |
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