Provided herein are systems, methods and apparatuses for an eyelet interference screw and affixation of an implant to tissue employing the eyelet interference screw.

Embodiments of the disclosure are directed to a ligament repair system and method. The ligament repair system may include one or more of a femoral aimer assembly, a tibial aimer assembly, a femoral fixation assembly, and a tibial fixation assembly.

Systems and methods for fixating a graft in a bone tunnel are provided. In general, the system includes a tissue fixation device having a delivery configuration and a deployed configuration, at least one graft retention loop coupled to the tissue fixation device, and a drill pin having a sidewall surrounding a cavity at a proximal end of the pin and at least one longitudinally oriented opening in the sidewall in communication with the cavity, the cavity being configured to fully seat the tissue fixation device. The drill pin is configured to substantially contain therein the tissue fixation device when in the delivery configuration and to enable deployment of the tissue fixation device through the opening. Drill pins configured to contain a tissue fixation device 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 method of repairing plantar plate tears of an individual through augmentation that includes cutting an incision above a damaged area of a plantar plate on an individual, spreading the tissue with a plantar plate joint distractor, inserting a drill insertion member into the plantar drill guide and at a drilling angle over tissue at or near the damaged area of the plantar plate, drilling, with a drill bit and at the drilling angle, into the tissue at or near the damaged area of the plantar plate, attaching a K-wire to a graft, pulling, with the K-wire, the graft across a damaged area of the plantar plate augmenting the damaged area of the plantar plate, and manipulating an interference-type screw through the plantar plate and either or both the K-wire and the graft to engage and compress the graft for fixation.

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.

A multi-axis drill guide assembly for precise drilling and guidewire placement. The drill guide assembly includes a guide arm having a first end and a second end with a curved slot extending from the first end toward the second end. The drill guide assembly also includes a curved guide extension arm having a first end and a second end. The first end of the curved guide extension arm is slidable within the curved slot of the guide arm. The drill guide assembly additionally has a probe arm rotatably connected to the second end of the guide arm. The probe arm is rotatable to a position that is non-planar relative to the guide arm. A drill guide is attached to the second end of the curved guide extension arm and extends along a first axis. A probe is attached to the probe arm and extends along a second axis.

A syndesmotic reconstruction guide assembly is disclosed. The syndesmotic reconstruction guide assembly includes a medial arm, a medial foot, and a lateral arm. The medial foot is rotatably connected to the medial arm with at least one degree of freedom. The lateral arm is slidably connected to the medial arm at an end opposite the medial foot. The lateral arm includes a lateral foot. The medial foot and the lateral foot are adapted to clamp bones of a syndesmotic joint therebetween.

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.

A guiding device includes: a guide having a tubular shape. The guide can include a first through hole for insertion of an ultrasound probe. The guide can be configured to guide movement of the ultrasound probe inserted through the first through hole. A protrusion can protrude from one end of the guide and can have a sectional shape that corresponds to a sectional shape of the distal portion of the ultrasound probe, the sectional shape of the protrusion being orthogonal to an axis of the first through hole, and the sectional shape of the distal portion of the ultrasound probe being orthogonal to the axis of the first through hole.