A surgical fastener comprising a generally flat, circular body and a generally cylindrical post fixedly coupled to a center of the body extending perpendicular to the body. Both of the body and the post include through holes configured for passage of a suture. A length of the post is selected to extend through both of a bone graft and at least a portion of bone for providing shear and/or anti-rotational support to the surgical fastener across a fracture line in the bone.

A method of tissue repair using a surgical assembly that includes the steps of assembling an implant and a driver, capturing tissue with the implant, installing the implant with the captured tissue in a socket or tunnel, advancing a tapered section of a set screw in the implant, thereby expanding the implant and fixing the implant with the captured tissue in the socket or tunnel, and releasing the driver from engagement with the set screw as the distal end of the set screw reaches the implant's closed end. A surgical assembly that includes an expandable implant having a hole with an entrance at a rear end of the implant and a closed end; a set screw, an implant insertion section, a driver engagement section, and a tapered section, where the implant insertion section is received in the hole of the implant, and a driver that is engaged with the set screw.

Methods and systems are provided for securing tissue to bone. A suture anchor can include an elongate body having a proximal end and a distal end and an external surface with a plurality of longitudinally spaced bone-engaging features formed at least partially circumferentially thereon over at least a portion of a length of the suture anchor. The proximal end can have a lumen extending at least partially into the elongate body and the distal end can have a suture engaging feature proximate thereto. A first series of bone-engaging features can have a dimension that increases from a distal to a proximal end of each bone-engaging feature of the first series of bone-engaging features. A second series of bone-engaging features can have a dimension that decreases from a distal to a proximal end of each bone-engaging feature of the second series of bone-engaging features.

A surgical tensioner and methods for surgical repairs. A tensioner can tension a flexible strand (suture or wire) attached to tissue (for example, graft or bone segments). A tensioner can include an angled tip with a split hole to past-point on a knot and lock the construct during tensioning. A tensioner can include a securing mechanism that can capture a flexible strand and lock it into place.

The present invention provides minimally invasive anchor drill devices for drilling pilot holes and inserting hardware into the pilot holes. The devices perform both functions without needing to be removed from a site of drilling, ensuring accurate placement of hardware while streamlining minimally invasive surgical procedures. The present invention also provides suture anchors capable of simultaneously supporting locking and re-tensioning suture configurations. The anchor drill devices and suture anchors can be used together for anchor-first procedures, suture-first procedures, and procedures linking several anchors together through combinations of locking and re-tensioning suture engagements.

Devices and methods for joining a first and second tissue in a patient are disclosed that include a base with opposed first and second surfaces, and a plurality of recurved tines oriented to a tine axis and extending from the first surface of the base. The base defines four suture holes extending through the first and second surfaces of the base and configured to receive at least one suture passing between the first and second surfaces of the base. The plurality of recurved tines provides unidirectional traction of the first tissue along the tine axis toward the first surface to secure the device to the first tissue. The device is secured to the second tissue at the second surface with the at least one suture secured to at least one anchor secured to the second tissue.

The present disclosure provides a minimally invasive spinal annulus fibrosus repairing device, including at least one bone anchor, at least one annulus fibrosus anchor, and at least one suture. The minimally invasive spinal annulus fibrosus repairing device of the present disclosure can be used to repair the annulus fibrosus damage, and can be combined with the use of an annulus fibrosus implant to repair the damaged annulus fibrosus.

A tissue repair construct having first and second implants coupled via a flexible element is provided. The flexible element forms an adjustable loop closed with a sliding knot, and has first and second free ends extending from the knot formed by wrapping the second end around the first end. The second implant can have a changeable configuration. The construct can be placed within a surgical site in a patient's body such that the first implant is passed into a bone adjacent to soft tissue and the second implant is disposed on an opposed side of the soft tissue. The first free end of the flexible element is configured to be tensioned to decrease a size of the loop and thereby change the configuration of the second implant and to thereby cause at least the second implant to move towards the first implant.

A sternal tie assembly having a pair of hook-shaped needles, a length of sternal tie extending from a proximal end of each of the needles, and a pair of posterior plugs, each of the posterior plugs being slidably mounted on the tie and tethered, via suture material, to the proximal end of a respective one of the needles. A method of use of the sternal tie assembly includes creation of a hole or channel in sternum, manubrium, rib, rib cartilage, intercostal muscle, or other tissue, drawing a portion of the tie and the suture material through the channel formed in the tissue by the needle, severing the needle from the tie and suture material, continuing to advance the suture material until a post of each of the posterior plugs is pulled into the respective channel in the tissue, or at least until a head of the plug is disposed against the channel in the tissue, then threading an anterior plug onto each exposed end of the sternal tie, securing the anterior plugs into respective anterior openings in the tissue, then crossing and twisting the sternal tie ends together until the tissue ends are closed together.

The present invention pertains to a hollow two-section implantation knotless suture anchor which comprises a main body, a tightening element and a taper. The main body comprises a front part, a rear part, a middle part, a first penetration part, a first accommodation space, a first thread, a tapered structure, and a perforation. The tightening element comprises a second penetration part and a second accommodation space. The taper comprises a taper body and a taper head. Moreover, the suture can pass through the perforation on the outside of the main body through the perforation. Afterthat it can pass through the first accommodation space and then the second accommodation space on the outside of the tightening element from the side of the tightening element opposite to the main body. Finally, it can extend on the outside of the main body. Hence, by pulling the ends of the suture, the tightness of the suture tightened by the tightening element and the front part is adjustable. Also, when the taper body of the first penetration and the second penetration is positioned, the taper head is next to the tightening element. Thus, by rotating the taper, both the main body and the tightening element are rotatable.