Abstract: An inserter including a hollow elongated shaft extending along a central longitudinal axis and having a proximal end and a distal end with a lumen extending therethrough; a sharp point at the distal end of the hollow elongated shaft, the sharp point disposed eccentric to the longitudinal axis of the hollow elongated shaft; a handle at the proximal end of the hollow elongated shaft; and a drive shaft movably disposed within the lumen of the hollow elongated shaft.

Abstract: A multi-lumen arthroscopy cannula (MLAC) is described which may be used to contain and manage joint irrigation fluid as a means of improving the state of arthroscopic surgery. The MLAC includes an arrangement of components within a cannula housing. An internal passage (central lumen) through which surgical instruments may be inserted into the body includes a series of components which greatly reduce the leakage path of fluid through the central lumen while enabling manipulation of surgical instruments during arthroscopic procedures. A dual-tapered diaphragm seal grips the instruments as it is manipulated to prevent leakage. This works in concert with the consecutively placed multi-leaflet valves, which act to prevent internal leakage and maintain pressure within the surgical cavity. Unique features of this cannula, aside from the multiple valves and dual-tapered diaphragm seal, include bilateral lumens which provide infusion and withdrawal of irrigation inside the joint capsule.

Abstract: A multi-lumen arthroscopy cannula (MLAC) is described which may be used to contain and manage joint irrigation fluid as a means of improving the state of arthroscopic surgery. The MLAC includes an arrangement of components within a cannula housing. An internal passage (central lumen) through which surgical instruments may be inserted into the body includes a series of components which greatly reduce the leakage path of fluid through the central lumen while enabling manipulation of surgical instruments during arthroscopic procedures. A dual-tapered diaphragm seal grips the instruments as it is manipulated to prevent leakage. This works in concert with the consecutively placed multi-leaflet valves, which act to prevent internal leakage and maintain pressure within the surgical cavity. Unique features of this cannula, aside from the multiple valves and dual-tapered diaphragm seal, include bilateral lumens which provide infusion and withdrawal of irrigation inside the joint capsule.

Abstract: An inserter including a hollow elongated shaft extending along a central longitudinal axis and having a proximal end and a distal end with a lumen extending therethrough; a sharp point at the distal end of the hollow elongated shaft, the sharp point disposed eccentric to the longitudinal axis of the hollow elongated shaft; a handle at the proximal end of the hollow elongated shaft; and a drive shaft movably disposed within the lumen of the hollow elongated shaft.

Abstract: An anchor for securing suture to tissue, the anchor comprising: an elongated body having a distal end and a proximal end, the distal end having a distal slot extending proximally into the elongated body, and the proximal end having a proximal slot extending distally into the body; the distal slot comprising a wide section and a narrow section, wherein the wide section has a width such that the suture is slidably accommodated therein and the narrow section has a width such that the suture is bound therein, and further wherein the wide section is disposed distally of the narrow section.

Abstract: A cleat for securing suture to tissue, the cleat comprising an elongated body having a distal end and a proximal end, the distal end having a distal slot extending proximally into the elongated body, and the proximal end having a proximal slot extending distally into the body; the distal slot comprising a wide section and a narrow section, wherein the wide section has a width such that the suture is slidably accommodated therein and the narrow section has a width such that the suture is bound therein, and further wherein the wide section is disposed distally of the narrow section.

Abstract: An anchor for securing suture to tissue, the anchor comprising: an elongated body having a distal end and a proximal end, the distal end having a distal slot extending proximally into the elongated body, and the proximal end having a proximal slot extending distally into the body; the distal slot comprising a wide section and a narrow section, wherein the wide section has a width such that the suture is slidably accommodated therein and the narrow section has a width such that the suture is bound therein, and further wherein the wide section is disposed distally of the narrow section.

Abstract: An anchor for securing suture to tissue, the anchor comprising: an elongated body having a distal end and a proximal end, the distal end having a distal slot extending proximally into the elongated body, and the proximal end having a proximal slot extending distally into the body; the distal slot comprising a wide section and a narrow section, wherein the wide section has a width such that the suture is slidably accommodated therein and the narrow section has a width such that the suture is bound therein, and further wherein the wide section is disposed distally of the narrow section.

Abstract: A cleat for securing suture to tissue, the cleat comprising an elongated body having a distal end and a proximal end, the distal end having a distal slot extending proximally into the elongated body, and the proximal end having a proximal slot extending distally into the body; the distal slot comprising a wide section and a narrow section, wherein the wide section has a width such that the suture is slidably accommodated therein and the narrow section has a width such that the suture is bound therein, and further wherein the wide section is disposed distally of the narrow section.

Abstract: A cleat for securing suture to tissue, the cleat comprising an elongated body having a distal end and a proximal end, the distal end having a distal slot extending proximally into the elongated body, and the proximal end having a proximal slot extending distally into the body; the distal slot comprising a wide section and a narrow section, wherein the wide section has a width such that the suture is slidably accommodated therein and the narrow section has a width such that the suture is bound therein, and further wherein the wide section is disposed distally of the narrow section.

Abstract: An anchor for securing suture to tissue, the anchor comprising: an elongated body having a distal end and a proximal end, the distal end having a distal slot extending proximally into the elongated body, and the proximal end having a proximal slot extending distally into the body; the distal slot comprising a wide section and a narrow section, wherein the wide section has a width such that the suture is slidably accommodated therein and the narrow section has a width such that the suture is bound therein, and further wherein the wide section is disposed distally of the narrow section.

Abstract: A method for securing a first object to a second object, the method comprising providing a suture and a plurality of cleats slidably mounted on the suture; passing one end of the suture and a first cleat through the first object and the second object; tensioning the suture so as to secure the suture to the first cleat; passing a subsequent portion of the suture and a second cleat through the first object and the second object; and tensioning the suture so as to secure the suture to the second cleat.

Abstract: An anchor for securing suture to tissue, the anchor comprising: an elongated body having a distal end and a proximal end, the distal end having a distal slot extending proximally into the elongated body, and the proximal end having a proximal slot extending distally into the body; the distal slot comprising a wide section and a narrow section, wherein the wide section has a width such that the suture is slidably accommodated therein and the narrow section has a width such that the suture is bound therein, and further wherein the wide section is disposed distally of the narrow section.

Abstract: A cleat for securing suture to tissue, the cleat comprising an elongated body having a distal end and a proximal end, the distal end having a distal slot extending proximally into the elongated body, and the proximal end having a proximal slot extending distally into the body; the distal slot comprising a wide section and a narrow section, wherein the wide section has a width such that the suture is slidably accommodated therein and the narrow section has a width such that the suture is bound therein, and further wherein the wide section is disposed distally of the narrow section.

Abstract: An anchor for securing suture to tissue, the anchor comprising: an elongated body having a distal end and a proximal end, the distal end having a distal slot extending proximally into the elongated body, and the proximal end having a proximal slot extending distally into the body; the distal slot comprising a wide section and a narrow section, wherein the wide section has a width such that the suture is slidably accommodated therein and the narrow section has a width such that the suture is bound therein, and further wherein the wide section is disposed distally of the narrow section.

Abstract: A method and construct for joint repair in which attachment of a double bundle graft ligament approximates anatomic orientation using interference fixation in a single bone tunnel. The double bundle graft features separable strands. A threaded screw is inserted between the separable strands and provides interference fixation of the graft against radially opposing walls defining the bone tunnel. Attachment of the graft using separated strands more closely approximate the configuration of the native ligament. The resulting reconstruction exhibits mechanical functionality that more accurately mimics that of the intact joint, with a minimum of associated tissue morbidity.

Abstract: A graft harness for securing a ligament in a bone tunnel takes the form of a shaped plug having a proximal end and a distal end. A radial groove is formed in the distal end of the plug which accepts a looped ligament graft. A suture passageway formed through the plug transverse to the groove accepts a length of suture. The proximal end of the plug features a concave configuration adapted to accept the distal end of an interference screw. A ligament graft is secured in a bone tunnel using the graft harness by seating the looped graft within the groove to form a harness/graft construct, passing a length of suture through the suture passageway, and drawing the harness/graft construct into the tunnel using the length of suture looped through the suture passageway. The graft is secured primarily using an interference screw which engages the concave proximal end of the harness. The harness provides secondary fixation of the graft in the bone tunnel.

Abstract: The invention provides orthopedic implants which are at least partially absorbable. The implants of the invention may include a biocompatible material in the form of a ring, which may be used in combination with a second, more porous, absorbable material. This second material may be a continuous body or discontinuous. The implant may also include a first material connected to a full or partial wedge of a second material, the wedge being connected to the inner surface of the more dense material. Suitable materials for the first and second materials include, but are not limited to, resorbable polymer composites. The implants of the invention may also include plates for anchoring of the implant.

Abstract: A method and construct for joint repair in which attachment of a double bundle graft ligament approximates anatomic orientation using interference fixation in a single bone tunnel. The double bundle graft features separable strands. A threaded screw is inserted between the separable strands and provides interference fixation of the graft against radially opposing walls defining the bone tunnel. Attachment of the graft using separated strands more closely approximate the configuration of the native ligament. The resulting reconstruction exhibits mechanical functionality that more accurately mimics that of the intact joint, with a minimum of associated tissue morbidity.

Abstract: A two piece graft fixation arrangement includes a graft block engageable with a graft and a transverse member engageable with the graft block to fix the graft block in a bone tunnel. Instruments and methods are presented for installing a graft in a bone tunnel and anchoring the graft with a transverse member placed through a transverse bore intersecting the bone tunnel.