Abstract: A surgical fixation system can include a fixation device, a loop connected to the fixation device, a graft carried by the loop, and a reinforcement material. Surgical fixation systems can be used in various tissue reconstruction procedures, including but not limited to, ACL and PCL reconstructions. The graft and the reinforcement material may be tensioned independently of one another to avoid stress shielding the graft.

Abstract: The present disclosure relates to tissue engineering, and more particularly to a method for treating or repairing rotator cuff or other tendon tears or damage using scaffold-free, 3-dimensional engineered tendon constructs.

Abstract: An orthopedic stabilization device is provided having a first button and a suture. The first button includes a base portion and a locking loop extending from a distal surface thereof, and a locking member slidably receiving the locking loop. At least a portion of the suture extends through the locking loop superior the locking member in the axial direction and at least a portion of the suture extends through the locking loop inferior the locking member in the axial direction such that a portion of said suture is frictionally retainable between said locking member and said locking loop when the suture is tensioned. The device may include a second button with the suture disposed between the first and second buttons such that the suture may be held in tension therebetween.

Abstract: In one embodiment of the present disclosure, an implant system for securing tissue to bone, including a first fixation member releasably engaged to a first inserter, the first fixation member having a throughbore adapted to accept a filament therethrough and a cannulation extending from a proximal end of the first fixation member to a distal end of the first fixation member, the first inserter positioned through the cannulation and having a distal tip extending distally beyond the distal end of the first fixation member, and a second fixation member releasably engaged to a second inserter different from the first inserter, the second fixation member having a size capable of being positioned within the bonehole.

Abstract: Disclosed herein are methods of using spun synthetic fibers to model ligaments of a joint of an animal. Further disclosed are models of joints which comprise spun synthetic fibers used to model ligaments. In certain aspects, the models of joints can be used for instructional purposes, as phantom models for testing medical devices or as models for calibration of tools used in physiological and/or biomechanical measurement.

Abstract: Surgical anchor assemblies and method of tissue repair using the same. The surgical anchor assemblies have a cannulated fixation device, an implant configured to be coupled to the fixation device, and a stop mechanism for preventing relative movement between the fixation device and the implant, such that the fixation device and the implant are configured to rotate together, and a flexible strand winds up to reduce any slack in the flexible strand used for the repair.

Abstract: A guide device for aiding an operator during a medical procedure (e.g., bunionectomy) includes a first frame portion, a second frame portion, and projections at end portions of the first and second frame portions. The projections are configured to receive various elongated accessories, such as a guide wire. One of the end portions includes a swivel portion that is pivotable. The guide device includes holes on at least one of the frame portions to secure the guide device to a patient and/or to attach supplemental accessories thereto.

Abstract: First and second images are displayed of anatomical structure segments with an attached fixator. Indications may be received of first image hinge locations of a plurality of hinges of the fixator in the first image. Projected second image hinge locations may be determined based at least in part on the first image hinge locations. Hinge candidates may be detected in the second image having shapes associated with the plurality of hinges. The hinges candidates may be detected by computer software using automated software-based image analysis techniques. Adjusted second image hinge locations may then be calculated based at least in part on the projected second image hinge locations and candidate second image hinge locations. The adjusted second image hinge locations may be used to determine physical locations of the fixator and anatomical structure segments in three-dimensional space, which may be used to determine manipulations to the fixator for deformity correction.

Abstract: An orthopedic assembly includes a tibial prosthesis that includes a body that defines an anterior side and a posterior side. The body further includes a recess in the anterior side of the joint prosthesis and a plurality of openings that extend through the body from the anterior side to the posterior side thereof. At least a first and second opening of the openings are positioned at respective lateral and medial sides of a longitudinal axis of the tibial prosthesis. A modular insert is positioned within the recess of the body such that at least a portion of the modular insert is positioned between the openings of the body. The modular insert is formed separately from the tibial prosthesis and has a porous outer surface to promote tissue ingrowth.

Abstract: Longitudinally-adjustable bone anchors and related methods are disclosed herein. The ability to adjust a bone anchor longitudinally can allow the surgeon to bring an implanted bone anchor up to the rod instead of or in addition to bringing the rod down to the bone anchor, which can simplify or eliminate the rod contouring step and reduce or eliminate reduction forces. For example, the surgeon can use a pre-bent rod or put “ideal contours” into a rod, lay the rod across a series of bone anchors, and adjust each bone anchor longitudinally to meet the rod. As another example, coarse adjustment of the fixation system can be achieved by contouring the rod and then fine adjustments can be made by bringing each bone anchor up or down to the rod. Various adjustment mechanisms are disclosed, including bone anchors with telescoping portions and bone anchors with risers or spacers.

Abstract: A dynamic bone anchor includes an anchor member having a tubular body with a first end and a second end, the anchor member defining an anchor axis including a plurality of barb elements, and being made at least partially of a nickel-titanium (Ni—Ti) based shape memory alloy. The dynamic bone anchor also including a core member configured to be inserted from the first end through the second end such that a first portion of the tubular body extends out from the first end, and a second portion of the tubular body extends out from the second end. The anchor member and the core member are configured such that when assembled, the first portion of the core member is spaced apart from the anchor member and movable with respect to it, and the second portion of the core member is fixed to and movable together with the anchor member.

Abstract: A method of evaluating a human knee joint, includes: cutting away a proximal portion of the tibia; inserting the gap tensioner between the tibia and the femur; extending the gap tensioner urging the tibia and the femur apart and applying tension to the medial and lateral collateral ligaments; associating at least two tracking markers with the knee joint; providing an electronic receiving device operable to determine a position and orientation of each of the tracking markers relative to the electronic receiving device; moving the knee joint through at least a portion of its range of motion; while moving the knee joint, using the electronic receiving device to collect position data from the tracking markers; processing the collected position data to produce a geometric model of at least a portion of the knee joint; and computing one or more tool paths passing through the knee joint.

Abstract: A total knee replacement prosthesis assembly (10) comprising a femoral component (20), a tibial component (30) having a tibial platform (32), and a bearing component (40), the bearing component having an inferior side (40b) and a superior side (40a), the bearing component being adapted to be arranged between the femoral component and tibial platform when assembled, the tibial platform having a post (36) upstanding from it and the bearing component having a post recess (46) in its inferior side for receiving the post, the bearing component being rotatable about the post when assembled, the post and bearing component each having a transverse bore and the assembly further comprising an axle (60), at least part of the axle being received through the transverse bore (38) in the post when assembled and at least part of the axle being received through the transverse bore (52) in the bearing component when assembled, the axle being configured to provide an axis of rotation between the femoral component and bearing co

Abstract: Longitudinally-adjustable bone anchors and related methods are disclosed herein. The ability to adjust a bone anchor longitudinally can allow the surgeon to bring an implanted bone anchor up to the rod instead of or in addition to bringing the rod down to the bone anchor, which can simplify or eliminate the rod contouring step and reduce or eliminate reduction forces. For example, the surgeon can use a pre-bent rod or put “ideal contours” into a rod, lay the rod across a series of bone anchors, and adjust each bone anchor longitudinally to meet the rod. As another example, coarse adjustment of the fixation system can be achieved by contouring the rod and then fine adjustments can be made by bringing each bone anchor up or down to the rod. Various adjustment mechanisms are disclosed, including bone anchors with telescoping portions and bone anchors with risers or spacers.

Abstract: The present invention generally relates to nanoscale wires and tissue engineering. In various embodiments, cell scaffolds for growing cells or tissues can be formed that include nanoscale wires that can be connected to electronic circuits extending externally of the cell scaffold. The nanoscale wires may form an integral part of cells or tissues grown from the cell scaffold, and can even be determined or controlled, e.g., using various electronic circuits. This approach allows for the creation of fundamentally new types of functionalized cells and tissues, due to the high degree of electronic control offered by the nanoscale wires and electronic circuits. Accordingly, such cell scaffolds can be used to grow cells or tissues which can be determined and/or controlled at very high resolutions, due to the presence of the nanoscale wires, and such cell scaffolds will find use in a wide variety of novel applications, including applications in tissue engineering, prosthetics, pacemakers, implants, or the like.

Abstract: A bone infusion apparatus for interbody grafts includes a container; a retainer, the retainer including a recess for receiving therein bone graft material; and a lid including a plunger assembly. A method of preparing bone including cadaver bone for use in cervical fusion includes: placing cadaver bone combined with bone collected from a patient into a recess of the retainer; placing the retainer in the container; filling the container with a liquid; attaching a lid the container; depressing a plunger of the lid such that a press head advances toward the retainer causing a dynamic pressure to act on the cadaver bone combined with the bone collected from the patient; suctioning the liquid from the container; removing the combined bone from the retainer; and placing the combined bone removed from the container into a vertebral interspace of the patient.

Abstract: Described are devices useful for providing hemostasis at a vascular access site, and related methods. Such devices can include first and second implant members cooperable when forced together to expand the first implant member in a tissue tract at the site. Such devices can also include an anchor member and a tether attached thereto. The anchor member can be deployed distally to the first implant member, within a vessel, and the tether can be tensioned to apply counterforce to the first implant member as the second implant member is forced into cooperative contact to expand the first implant member.

Abstract: A prosthetic knee implant for implantation into a mammal, which accommodates an anterior cruciate ligament substitute to provide stability to the knee implant. The prosthetic knee implant includes a femoral component having a pair of condylar surfaces and a tibial component having a surface portion adapted to slidably engage the femoral component upon rotation of the same. The femoral component further includes a central femoral recess between the condyles providing access to the femur for drilling a channel through which a cruciate ligament substitute may be integrated into the femur. The tibial component further includes a center portion defining an aperture through which the ligament substitute maybe threaded through the tibia and integrated therein, or anchored upon its surface. Also disclosed is a method used to replace the total knee joint in a mammal with the improved prosthetic knee implant of the present invention.

Abstract: Inventive concepts relate general to the field of implantable three-dimensional scaffolds. More particularly, methods of preparing and using implantable nanofibrous tissue scaffolds are described. Inventive scaffolds can be used for treatment of defects in a living organism, such as hard or soft tissue defects including bone.

Abstract: A system and method for sharing and absorbing energy between body parts. In one aspect, the method involves identifying link pivot locations, fixing base components and minimally invasive insertion techniques. In one particular aspect, the system facilitates absorbing energy between members forming a joint such as between articulating bones.

Abstract: A method for securing suture to bone comprises drilling a hole in a desired portion of bone at a desired procedural site, passing a strand of suture through a portion of soft tissue to be approximated to the portion of bone, and extending the free suture ends proximally from the soft tissue. The suture is loaded into an anchor implant. Using an inserter, on a distal end of which is attached the anchor implant, the anchor implant is manipulated into the bone hole. The suture is then tensioned to a desired level by pulling on the free suture ends, after the anchor implant is positioned in the bone hole. The free suture ends are wrapped about a suture cleat on an inserter handle once the desired tension level is achieved. A proximal anchor component is moved distally to engage with a distal anchor component to lock the anchor in place within the bone hole, and to lock the suture in place within the anchor. Then, the inserter is removed from the procedural site.

Abstract: A method of replacing an ACL with a graft. The method provides for the drilling bone tunnels in a femur and a tibia. A replacement graft is provided having first and second ends. A biodegradable composite screw is provided. The screw is made from a biodegradable polymer and a bioceramic or a bioglass. At least one end of the graft is secured in a bone tunnel using the biodegradable composite screw.

Abstract: Anterior cruciate ligament reconstruction methods and devices are designed to achieve an anatomically accurate double bundle anterior cruciate ligament reconstruction by using a single femoral and tibial tunnel. The method and devices reconstruct the two bundles of the anterior cruciate ligament in a single femoral and tibial tunnel using a bone-patellar tendon-bone graft. The methods and devices enable an accurate anatomical reconstruction of the anteromedial and posterolateral bundles by creating a single femoral and tibial tunnel as opposed to creating two tunnels in the tibia and femur.

Abstract: An implantable device is provided for soft-tissue or soft tissue-to-bone repair, fixation, augmentation, or replacement that includes a biomimetic and biodegradable nanofiber scaffold. Also provided is a fully synthetic implantable multiphased scaffold which includes, in a single continuous construct, a plurality of phases to mimic the natural anatomy of a tendon or ligament and their insertion sites. Also provided are scaffold apparatuses for musculoskeletal tissue engineering.

Abstract: Implantable biomimetic ligaments suitable for use in ligament replacement, including, but not limited to, that of the anterior cruciate ligament (ACL) are provided. The replacement implants consist of a biocompatible degradable polymeric scaffold seeded with mesenchymal stem cells (or a combination of different phenotypes). The use of materials such as polylactic acid, fibrin, and nanohydroxyapatite particles, area-dependent compositional modifications, surface topography, biochemical manipulations, and selective growth environments in vitro, allows the scaffold to be populated with the cells mimetic of the native tissue. The mechanical properties of the scaffold support the development of subchondral bone, mineralized fibrocartilage, non-mineralized fibrocartilage, and the ligament proper. The scaffold can be rolled up, transitioning the two-dimensional planar scaffold to a three-dimensional graft for implantation.

Abstract: The present invention is directed to an implant device, in particular an implant device placed between bony, cartilaginous or soft tissues or between prosthetic surfaces to restore or create a gap. More particular the present invention is directed to an implant device made from polymeric material and having a stiffness gradient as well as a limited dimensional deformation, wherein the implant device has a stiffness gradient and a limited dimensional deformation and preferably is at least partially anisotropic.

Abstract: A depth gauge and method provide for accurate measurement of a socket portion of a bone tunnel in an ACL reconstruction.

Abstract: The disclosure describes implantable medical products, that include dry or partially hydrated biocompatible constructs comprising collagen fibers configured to expand in situ after implantation to frictionally engage a bone tunnel wall to thereby affix the construct in the bone tunnel.

Abstract: A system for an anatomical joint includes a first fastener, a second fastener, a prosthetic ligament member, and a biasing member associated with at least one of the first and second fasteners. The first fastener is operable to be connected to a first bone portion. The second fastener is operable to be connected to a second bone portion. The prosthetic ligament member is flexible and is directly coupled to both the first and second fasteners to support the first bone portion and the second bone portion for relative movement. A portion of the prosthetic ligament member extends from the first fastener to the second fastener and has an adjustable length. The biasing member is operable to bias the prosthetic ligament member to thereby maintain tension in the prosthetic ligament member.

Abstract: Described herein are methods and devices for use in repair of a patient's anterior cruciate ligament (ACL). These methods (and devices for performing them) allow the repair, rather than merely replacement, of the ACL. For example, described herein are anchoring devices that may be inserted into a bone and may anchor a scaffolding/support (e.g., graft) material within the bone so that the torn or damaged end of the ACL may be secured to the scaffolding/support material within the femoral notch. These anchoring devices and method of using them are particularly well suited for use with the continuous suture passers described herein, since these suture passers may allow access to previously inaccessible regions of the knee (or other body regions).

Abstract: A technique and reconstruction system for ligament employing a button/loop construct with a drill pin. The drill pin has a shaft with a proximal and a distal end. A pin tip provided at the distal end of the shaft has a width greater than the shaft diameter. The pin tip helps cut a wider tunnel for fixation of ligaments/grafts in reconstructive surgeries. The shaft of the drill pin is provided with a laser marks for measurement of intraosseous length.

Abstract: A graft attachment apparatus including at least two separately formed filament loops, and a fixation member comprising at least one opening configured to receive the at least two separately formed filament loops. The at least two separately formed filament loops are continuous loops.

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: The invention provides compositions and methods for treatment of tendon and ligament injuries and/or repair of damaged tendons and ligament. The invention provides compositions comprising a biocompatible matrix and platelet-derived growth factor (PDGF).

Abstract: The disclosure describes implantable medical products, that include dry or partially hydrated biocompatible constructs comprising collagen fibers configured to expand in situ after implantation to frictionally engage a bone tunnel wall to thereby affix the construct in the bone tunnel.

Abstract: A wedge is used to engage on one side with a femoral tunnel or a tibial tunnel and on the opposite side engage with a bone plug. This is accomplished by forming a wedge being substantially semi-circular on one side and flat on the opposite side.

Abstract: A system (100) for a controlled stressing of a reconstructed or re-natured ligament of a human or animal body comprises an anchoring element (10) for implantation in a first bone (50), at least one connecting element (120) and a holding element (30), which fixes the at least one connecting element (20) in a second bone. According to the invention, an elastomer element (125) is arranged in the anchoring element and/or in the connecting element (120) and provides a defined elastic action through the cooperation of elastomer element (125) with the connecting element (120).

Abstract: Pathology of the human knee can arise from excessive and/or uneven loading of regions within the joint. Methods and apparatus are disclosed that enable displacement of soft tissue around the knee, without displacing or severing bone thereby altering the mechanical load distribution within the joint in a less invasive manner than previous techniques.

Abstract: Implantable assemblies/devices and methods for manipulating energy transferred by members defining an anatomical joint, wherein the members collectively define a path of motion. Assemblies/devices are provided with a first component configured to be attached to a first member of the anatomical joint, a second component configured to be attached to a second member of the anatomical joint; and a hydraulic member joining the first and second components. The hydraulic member is placed under compression to absorb energy transferred by the members when the first component is attached to the first member and the second component is attached to the second member and a distance between locations of attachment of the first and second components becomes smaller then a predefined distance between the locations.

Abstract: Implant apparatus and methods directed toward treating conditions involving the knee joint and the patella specifically are disclosed. Implants that maintain alignment or address misalignment of a patella through a full range of motion of the knee joint are disclosed.

Abstract: A system for manipulating energy transferred by members defining a joint and a method of implantation includes a first attachment structure configured to be attached to a first member of the joint and a second attachment structure configured to be attached to a second member of the joint.

Abstract: Techniques and reconstruction systems for fixation of bone to bone, or soft tissue to bone, that allow a double-bundle type construct with only three tunnels, a single graft and individual tensioning in each of the three tunnels. Alternative double-bundle ACL/PCL fixation techniques are provided that employ a double-bundle type construct with only a single graft and three tunnels/sockets. The double-bundle ACL and PCL techniques and constructs allow individual tensioning of each of the bundles (e.g., tensioning of each of the anteromedial (AM) and posterolateral (PL) bundles of the ACL) and eliminate the need for additional fixation devices (for example, interference screws) to secure the bundles within the bone tunnels/sockets.

Abstract: Custom surgical guides based on the patient's unique anatomy that can be quickly and accurately applied intra-operatively without navigation are disclosed. The device is created using preoperative MRI images and uniquely conforms to the bone in the region of the desired tunnel. The images are filtered and used to generate computerized three dimensional models of the patient's anatomy. The models can be introduced through a portal and applied to the bone denuded of soft tissue.

Abstract: A guide apparatus including a body having a proximal end, a distal end, a hole formed therethrough, and a central axis defined therethrough, and a projection member coupled to the distal end of the body. An outer diameter of the body is larger than an outer diameter of the projection member. Further, the projection member does not obstruct a pathway defined by the hole.

Abstract: A graft attachment apparatus including at least two separately formed filament loops, and a fixation member comprising at least one opening configured to receive the at least two separately formed filament loops. The at least two separately formed filament loops are coupled to the fixation member. Further, each of the at least two separately formed filament loops are continuous loops.

Abstract: A graft ligament anchor includes a tubular body having a bore therethrough and proximal and distal ends. A flange is attached to the tubular body at the proximal end thereof and extends radially outwardly beyond the tubular body. A deformable wall is disposed in the tubular body bore and defines, at least in part, a chamber for retaining the graft ligament therein. An expansion device is configured for insertion into the tubular body axially of the tubular body, and for impinging upon the deformable wall to press the deformable wall, and hence the graft ligament received in the chamber, toward a wall of the bore, whereby to fix the graft ligament in the tubular body.

Abstract: An implantable device is provided for soft-tissue or soft tissue-to-bone repair, fixation, augmentation, or replacement that includes a biomimetic and biodegradable nanofiber scaffold. Also provided is a fully synthetic implantable multiphased scaffold which includes, in a single continuous construct, a plurality of phases to mimic the natural anatomy of a tendon or ligament and their insertion sites. Also provided are scaffold apparatuses for musculoskeletal tissue engineering.

Abstract: Various methods and devices are provided for a graft fixation device for fixing a graft member within a bone tunnel. In one embodiment, a graft fixation device is provided having a radially expandable sheath adapted to be disposed within a bone tunnel, and a sheath expander adapted to be received within the radially expandable sheath to expand the sheath and thereby anchor a graft between the sheath and the bone tunnel. In an exemplary embodiment, the graft fixation device is particularly useful to affix a graft within a femoral tunnel.

Abstract: Pathology of the human knee can arise from excessive and/or uneven loading of regions within the joint. Methods and apparatus are disclosed that enable displacement of soft tissue around the knee, without displacing or severing bone thereby altering the mechanical load distribution within the joint in a less invasive manner than previous techniques.

Abstract: Pathology of the human knee can arise from excessive and/or uneven loading of regions within the joint. Methods and apparatus are disclosed that enable displacement of soft tissue around the knee, without displacing or severing bone thereby altering the mechanical load distribution within the joint in a less invasive manner than previous techniques.