Fixation device cartridges. At least one example embodiment is a cartridge including: a first tube; a second tube parallel to first tube; a first spacer coupled to the first tube and the second tube such that slots of the first and second tubes face each other; a second spacer coupled to the first tube and the second tube, the first and second spacers defining a suture volume between the slots of the first and second tubes, and the slot of the first tube and the slot of the second tube open into the suture volume; a first bone anchor disposed within the first tube, a first suture line associated with the first bone anchor and extending through the slot; and a second bone anchor disposed within the second tube and coupled to the first suture line.

Guide tools for installation of fixation devices. At least one example embodiment includes: a delivery tube, the delivery tube defines a slot that runs from the distal end to the proximal end; a guide tube coupled to the delivery tube; and a handle coupled to the proximal end of the delivery tube and coupled to the proximal end of the guide tube. The handle may include a first channel into an interior of the delivery tube through the slot, and a receptacle in operational relationship to the delivery tube and the first channel.

Apparatus for locating an attachment position for a reconstructed anterior cruciate ligament on an attachment surface of a bone comprises locating means 51, 61 arranged to locate at least one reference surface 4 of the bone and guide means 53, 54 arranged to define the attachment position in two dimensions on the attachment surface relative to the reference surface.

Methods of tissue repair. At least one example method includes: pulling a tissue in place over a bone location; abutting a distal end of a guide tool against the tissue at a first location, and driving a first bone anchor through a delivery tube of the guide tool, through the tissue, and into the bone at the first location, the first bone anchor coupled to a first suture line; abutting the distal end of the guide tool against the tissue at a second location displaced from the first location, and then driving a second bone anchor through the delivery tube, through the tissue, and into the bone at the second location, the second bone anchor associated with the first suture line; withdrawing the guide tool away from the tissue; and tightening the first suture line to create a first suture over the tissue.

Fixation device cartridges. At least one example embodiment is a cartridge including: a first tube; a second tube parallel to first tube; a first spacer coupled to the first tube and the second tube such that slots of the first and second tubes face each other; a second spacer coupled to the first tube and the second tube, the first and second spacers defining a suture volume between the slots of the first and second tubes, and the slot of the first tube and the slot of the second tube open into the suture volume; a first bone anchor disposed within the first tube, a first suture line associated with the first bone anchor and extending through the slot; and a second bone anchor disposed within the second tube and coupled to the first suture line.

A coracoid drill guide assembly includes a body having a cylindrical channel on each side of the body for receiving a drill guide sleeve. The sleeves of the assembly have a 1.4 mm inner diameter to guide a 1.3 mm (or smaller) K-wire through the sleeve. An aimer arm extends from the body at a non-intersecting angle with the drill sleeve. The assembly also has a self-locking ratchet mechanism to lock the sleeve in place once the assembly has been secured to bone.

Embodiments of the invention include implants, instruments, and methods for attaching or reattaching soft tissue (200, 2200) to a bone (100), that enable independent tensioning of multiple connectors such as sutures (60, 160, 2060, 2160) and enable redundant fixation between bone (100) and soft tissue (200, 2200). Some embodiments provide for improved accuracy of the placement of substantially parallel tunnels through which soft tissue (200, 2200) to bone (100) connectors such as sutures (60, 160, 2060, 2160) are passed.

A plantar plate augmentation kit assembly and method of repairing plantar plate tears through augmentation provides an assembly of tools used to augment a plantar plate with a soft tissue graft, and specifically an Artelon Graft. The kit assembly includes a plantar plate drill guide for aligning a drill bit and K-wires over a damaged area of a plantar plate. The assembly also includes a plantar plate joint distractor for separating tissue, at least two K-wires that serve as anchors to the tissue, a drill bit for driving the graft into the tissue. The assembly also includes a graft passer for retaining and manipulating the graft. Further included are at least two interference-type screws and a screw driver for manipulating the interference-type screws. These components are stored in a storage container that includes an outer housing and multiple inner recesses shaped and sized to frictionally fit the tools.

Various exemplary methods, systems, and devices for instability repair are provided. In general, a surgical device can be configured to drill a hole in bone and to deliver a suture anchor into the hole. In this way, a single surgical device can drill the hole and deliver the anchor into the hole for securing soft tissue to the bone. The anchor can be configured to allow the soft tissue to be secured to the bone using a suture coupled to a suture anchor without the need to knot or otherwise tie the suture to secure the soft tissue in place relative to the bone.

Surgical drill guides have modular configurations and are adapted to accommodate a wide range of anatomy. The surgical drill guides are adapted to be removed while leaving a guide wire in its intended location in human bone. The distal end of the drill guide acts as a safety stop for the guide wire by preventing the guide wire from penetrating too far past the far side of the bone.