Abstract: An apparatus and method for tibial fixation of a soft tissue graft includes a body having a first side and a second side. A first plurality of spikes extend from the second side of the body each having a first length. A second plurality of spikes extend from the second side of the body each having a second length where the first length is longer than the second length. The first plurality of spikes are operable to engage the bone without the second plurality of spikes substantially engaging the soft tissue graft to permit proper tensioning of the soft tissue graft. The method includes forming a tunnel in a bone and forming a counterbore substantially perpendicular with the tunnel. The soft tissue graft passes through the tunnel and the counterbore and is secured within the counterbore with an apparatus which is nested within the counterbore.

Abstract: An apparatus and method for tibial fixation of a soft tissue graft includes a body having a first side and a second side. A first plurality of spikes extend from the second side of the body each having a first length. A second plurality of spikes extend from the second side of the body each having a second length where the first length is longer than the second length. The first plurality of spikes are operable to engage the bone without the second plurality of spikes substantially engaging the soft tissue graft to permit proper tensioning of the soft tissue graft. The method includes forming a tunnel in a bone and forming a counterbore substantially perpendicular with the tunnel. The soft tissue graft passes through the tunnel and the counterbore and is secured within the counterbore with an apparatus which is nested within the counterbore.

Abstract: An apparatus and method for tibial fixation of a soft tissue graft includes a body having a first side and a second side. A first plurality of spikes extend from the second side of the body each having a first length. A second plurality of spikes extend from the second side of the body each having a second length where the first length is longer than the second length. The first plurality of spikes are operable to engage the bone without the second plurality of spikes substantially engaging the soft tissue graft to permit proper tensioning of the soft tissue graft. The method includes forming a tunnel in a bone and forming a counterbore substantially perpendicular with the tunnel and partially within an entrance opening of the tunnel. The soft tissue graft passes through the tunnel and the counterbore and is secured within the counterbore with an apparatus which is nested within the counterbore.

Abstract: A distracting cannula is provided which includes a first penetrating member having a first end and a second end. The first penetrating member has an internal surface providing a through bore operative to receive an elongated surgical instrument. The first penetrating member has an external gripping surface disposed between the first and second ends that is provided by a helical thread. A generally conical shroud has an open end for contacting the patient's skin. An opposite end of the shroud is attached to the first penetrating member near the second end. The first penetrating member first end is inserted into a portal incision of the patient's body until the shroud open end contacts the patient's skin. Torquing the tissue distracting cannula further caused the tissue gripping surface of the first penetrating member to pull the surrounding tissue upward into a cavity created by the shroud.

Abstract: A graft protection device suitable for protecting a bone-tendon-bone graft used during anterior cruciate ligament reconstruction. The graft protection device comprises a distal blocking member, a proximal releasable holding sleeve and an elongated connecting portion connecting the blocking member with the holding sleeve. A radially extending handle is attached to the holding sleeve in order to enable a user to longitudinally and rotationally position the graft protection device along the shaft of an elongated driver when the device is inserted through an opening into a joint.

Abstract: A bone fixation screw employs plural interleaved and axially symmetrical spiral threads. The threads are machined at the screw tip to form symmetrically disposed leading cutting edges. An interference-screw embodiment has a central axial cannula and a female hexagonal drive socket. The plural threads assist in unbiased starting and fast advance of the screw.