An anchor delivery system includes both a straight and curved drill guide along with a flexible drill, a flexible obturator and a flexible anchor inserter. The curved drill guide has a distal tip with approximately a 15° bend from the primary axis of the drill guide. Both the drill and the obturator have a reduced diameter section to improve flexibility during passage through the curved drill guide. Additionally, a surface of the inserter shaft has a laser cut pattern which permits flexing of the inserter around the inner diameter of the curved drill guide.

Surgical constructs, assemblies and methods of tissue fixation are disclosed. An anterior glenoid guide is a cuboid block configured to be introduced via the rotator interval to lie on the anterior glenoid. The guide has an internal thread for a handle and two flanges which lie on the anterior glenoid. On the anterior face (opposite the neck of the glenoid), the guide is provided with two holes which are sized to receive a drill guide. The holes mate with slots such that the block can be removed after sutures and fixation devices are installed. The anterior glenoid guide can be an arthroscopic anterior glenoid graft guide.

Surgical constructs, assemblies and methods of tissue fixation are disclosed. An anterior glenoid guide is a cuboid block configured to be introduced via the rotator interval to lie on the anterior glenoid. The guide has an internal thread for a handle and two flanges which lie on the anterior glenoid. On the anterior face (opposite the neck of the glenoid), the guide is provided with two holes which are sized to receive a drill guide. The holes mate with slots such that the block can be removed after sutures and fixation devices are installed. The anterior glenoid guide can be an arthroscopic anterior glenoid graft guide.

Methods for measuring tissue defects include the use of a suture anchor, a drill guide, a needle driver, and a ruler. Using the drill guide, the surgeon extends the suture attached to an implanted anchor between the first and second ends of the defect. The surgeon then attaches a needle driver to the suture extending from the proximal end of the drill guide. Finally, the surgeon retracts the suture back through the drill guide and measures the distance between the needle driver and the proximal end of the drill guide to determine a length of a graft needed to repair the defect.

Methods and kits are provided to treat scapho-lunate ligament tears, which involve stabilization of the scaphoid and lunate both dorsally and volarly. The treatments can be performed through open, mini-open or arthroscopic procedures, as an intra-capsular or extra-capsular repair and stabilization procedure. The treatment procedures involve the use of sutures or wires to fix the relative orientations of the scaphoid and lunate, and the optional use of bone anchors or other bone attachment devices to create a capsulodesis between the lunate and scaphoid, or other bones, to lift the scaphoid into the desired position. Localization of the entry point of the sutures or wires into the bones are used to improve positioning of the bone anchors, sutures and wires.

Various devices, systems, and methods for knotless suture anchors are provided. In general, a guide device can be cannulated and can be configured to slidably receive therein an inserter tool configured to deliver a suture anchor into a hole formed in bone, such as with a drill advanced through the guide device. The guide device with the inserter tool therein can be configured to be held as a unit by one hand of a person, e.g., a surgeon or other medical personnel.

Embodiments of the present disclosure are directed to instrumentation that facilitate coracoid-glenoid fixation in Latarjet procedures. For example, a single instrument, a coracoid resection tool, may be provided/utilized to prepare a coracoid bone graft for size, flatness, and hole drilling. A glenoid drill guide may further be provided/utilized that uses sized offsets for placement of the coracoid graft flush with the glenoid. Further embodiments of the disclosure are directed to corresponding methods that employ this instrumentation. For example, a surgeon may employs the coracoid resection tool as a guide to plane the inferior coracoid surface that will serve as the coracoid graft surface. The coracoid resection tool may further guide the placement of coracoid holes along the length of the coracoid and orient the holes approximately perpendicular to the planed coracoid graft surface. For example a proximal coracoid hole may be positioned towards the proximal end (i.e., the cut end) of the resected coracoid while a distal coracoid hole may be positioned towards the distal end (i.e., the tip) of the resected coracoid.

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.

Systems and methods for preparing a bone for a surgical procedure are provided. In general, the described techniques use a surgical guide device including a cannula having first and second parallel elongate channels adjacent to one another, and first and second elongate sleeves configured to be removably and replaceably received in the first and second channels, respectively. The first sleeve has a plurality of openings formed therein, each being in communication with a respective wire-receiving lumen extending through the first sleeve. Each of the openings defines a different offset distance between the wire-receiving lumen in communication with that opening and a wire-receiving lumen extending through the second sleeve. The surgical device can be manipulated so as to define positions of first and second openings in a bone, such as a glenoid or other bone, to receive bone screws or other elements for attaching a bone graft to the bone.

A multi-barrel drill guide with an elongated body extending along a longitudinal axis having a proximal end and a distal end, an elongated distal guide tube attached to and extending from the distal end of the elongated body, and a handle extending from the elongated body between the proximal end and the distal end. The elongated body has a first channel extending from the proximal end to the distal end and a second channel extending from the proximal end to the distal end at an angle relative to the first channel. The first channel and the second channel intersect at a convergence area at the distal end. A drill bit is movable in a slidable manner within the second channel, and a driver loaded with a suture anchor is movable in a slidable manner within the first channel.