Devices, systems, and methods are provided for ligament repair procedures, and can be used to establish a location and trajectory for forming a bone tunnel in bone. One exemplary embodiment of a surgical guide for using in a ligament repair procedure includes a guide arm and a carriage that can be selectively locked along the guide arm to define an angle of the bone tunnel. The guide arm also defines a location of a distal end of the bone tunnel. In some embodiments the carriage is configured to have a bullet side-loaded into it, and the bullet can be used to define a location of a proximal end of the bone tunnel. The present disclosure also provides for a gage that limits the distance a drill pin that drills the bone tunnel can travel. A variety of other, devices, systems, and methods are also provided.

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 surgical procedure of preparing bone holes to fix an implanted tendon to a femur when performing reconstruction of a ligament in a knee joint, includes: bringing a treatment portion of an ultrasonic treatment instrument into contact with the femur in the knee joint, and applying ultrasonic vibration from the treatment portion to the femur, thereby cutting and forming a first bone hole from the inside of the knee joint to the femur in a predetermined depth.

Aspects of the present disclosure relate to systems, devices and methods for performing a surgical step or surgical procedure with visual guidance using an optical head mounted display. Aspects of the present disclosure relate to systems, devices and methods for displaying, placing, fitting, sizing, selecting, aligning, moving a virtual implant on a physical anatomic structure of a patient and, optionally, modifying or changing the displaying, placing, fitting, sizing, selecting, aligning, moving, for example based on kinematic information.

A positioner, a conveyor, a tunnel-type wire passing system and an operating method thereof. The positioner includes first and second locating rods, a guide wire and a drive unit. The first locating rod defines a first channel extending therethrough along its axial direction. The second locating rod is connected to the first locating rod. The second locating rod defines a second channel extending therethrough along its axial direction. A distal end of the second channel extending in a direction intersecting a direction in which a distal end of the first channel extends. The guide wire is movably inserted in the second channel along the axial direction of the second locating rod. The guide wire is provided at a distal end thereof with a connecting unit. The drive unit is connected to the guide wire and drives the guide wire to move in the axial direction of the second locating rod.

There is provided herein and improved anterior cruciate ligament reconstruction technique which comprises drilling a guide wire straight through a tibial passage and then at an angle from an ACL insertion point straight through a femoral passage. A reamer is then attached to a proximal end of the guidewire. The reamer has a distal cutting head, a distal flexible shaft, a proximal cutting head and a proximal flexible shaft. The proximal cutting head has a greater diameter than that of the distal cutting head. The reamer is drilled to follow the guidewire until the distal cutting head passes through the femoral cortex. The reamer is then retrieved at a proximal end thereof, thereby having created a larger diameter medial passage portion and a smaller diameter lateral passage portion within the femoral passage in a single pass, thereafter being ready for insertion of a graft, including by endobutton fixation.

A guide for drilling a tunnel in a knee joint having intercondylar roof and tibial eminence. The guide can comprise a guide assembly having a positioning member including an inferior end, and a guide arm extending from the positioning member including a trochlear tip; and a drill sleeve having a body attached to the inferior end, an aperture extending along a drilling axis, and a distal end having a patient-specific surface configured to engage an anterior surface of the tibia. A method of producing a tibial tunnel can comprise inserting a trochlear tip of a guide arm between the tibial eminence and the intercondylar roof, adjusting a position of a positioning member connected to the guide arm, engaging a patient-specific tip of a drill sleeve connected to the positioning member with a surface of a tibia, and inserting a drill bit through the drill sleeve to drill a tibial tunnel.

A drill guide assembly for accurate and stable drilling of a bone tunnel. The drill guide assembly includes a guide body having first and second ends, and a slot extending from the first end toward the second end. The drill guide assembly also includes a curved guide arm having a first arm connected at an angle to a second arm. The first arm terminates in a distal tip. The second arm has first and second sides, and is slidable within the slot of the guide body. The second arm also includes detents along its second side. A locking mechanism is attached at the first end of the guide body and in a first position, and the locking mechanism is engaged with one of the detents. The drill guide assembly also includes a clamp mechanism attached at the second end of the guide body and a guide sleeve removably extending therethrough.

An arthroscopic tenodesis kit, includes a guide including an elongate member having a length with a distal portion having one or more spring arms configured to open toward a free end of the distal portion of the guide to directly and releasably engage a tendon. The kit also includes an inserter having an elongate cannulated body having an interior bore having a blind end and an open end configured to slidingly receive the guide. The body of the inserter has a length that is shorter than the length of the guide, so that the distal portion of the guide remains spaced from the bore when the guide is fully received within the bore.

Instruments and methods for surgical transosseous attachment to a bone include a guide able to guide the formation of intersecting bone tunnels and a passer able to pass a member through the bone tunnels.