A swivel suture anchor for knotless fixation of tissue. The suture anchor includes an anchor tip configured to capture suture, the anchor tip being rotatably received within a fixation device upon advancement of the fixation device over a shaft of the anchor tip. The anchor tip is configured to receive a suture to be anchor in bone without requiring suture knots. The anchor tip can be a conical metal tip which is self-punching and avoids the need for pre-drilling a hole in bone. The anchor tip includes a closed aperture to allow free sliding of a suture strand. The suture is secured in a hole in bone by inserting the anchor tip into bone, and advancing a fenestrated fixation device, such as a cannulated interference screw, over a shaft of the anchor tip.

A kit and method for reconstructing an Achilles tendon may include a first anchor member, a first flexible member configured to engage the first anchor member, a second anchor member, a second flexible member configured to engage the second anchor member, a first adjustable anchor assembly including a first outer member and a first inner member configured to axially translate within a first lumen of the first outer member in response to rotation of the first inner member relative to the first outer member, a second adjustable anchor assembly include a second outer member and a second inner member configured to axially translate within a second lumen of the second outer member in response to rotation of the second inner member relative to the second outer member, and a collagen implant configured to engage a surface of the Achilles tendon.

Methods for whip-stitching soft tissue with a needle and a looped suture avoid placing the tissue graft through the suture loop, which also eliminates the need for passing a tissue clamp through the suture loop. The methods described herein can also include combinations of the techniques described.

Devices, systems, and methods to improve both the reliability of soft tissue repair procedures and the speed at which the procedures are completed are provided. The devices and systems include one or more tissue augmentation constructs, which include constructs that are configured to increase a footprint across which suture applied force to tissue when the suture is tied down onto the tissue. The tissue augmentation constructs can be quickly and easily associated with the repair suture, and can be useful in many different tissue repair procedures that are disclosed in the application. Tissue augmentation constructs can include various blocks and scaffolds, among other formations. The present disclosure includes, among other disclosures, methods for using tissue augmentation scaffolds, including folding scaffolds, and descriptions and methods associated with extra-wide tissue augmentation blocks.

A graft compression system for compressing soft tissue grafts used in connection with reconstructive surgery on the anterior cruciate ligament (ACL). The graft compression system includes a compression chamber having an elongate hollow shaft body having two ends that are threaded to mate with correspondingly threaded collet nuts. Collets are removably inserted into, and engage, the collet nuts fastened to opposing ends of the compression chamber A surgical graft may be inserted into a hollow compression tube having a lumen with a compressible diameter, said compression tube being sized for insertion into the collets and compression chamber. When such collet nuts are tightened by a user of the graft compression system, the inner diameters of the respective collet nuts nested within such collet nuts are decreased, causing the diameter of the lumen of the hollow compression tube to in turn be decreased and compress the surgical graft within.

A surgical guidance system (SGS) for performing a cruciate pivot osteotomy in canines to treat cranial cruciate ligament disease. The SGS comprises a guide, a jig, and a plate. The guide is first placed over the tibia until it interacts with specific anatomical features of the tibia, thereby marking the proper position for the jig to be placed. After the jig has been secured, a blade defines an osteotomy within a proximal portion of the tibia. A portion of the jig is then cranially rotated providing a rotational correction of the proximal tibia. A compressive force is then applied to the osteotomy by the jig. Next the multiplane locking plate is placed over the osteotomy as dictated by the features of the jig. After initially securing the plate into its correct position, the jig is removed and the plate is then secured to the cranial surface of the tibia.

Described herein is a simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a hole in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture. Particularly preferred embodiments allow for the one-handed operation, namely embodiments in which relative axial movement between the inner tensioning device and outer driver device is optionally physically constrained, for example by means of cooperating and/or compressive elements disposed in the respective hub and handle portions, are described herein. Other preferred embodiments of the present invention relate to multi-anchor constructs that may employ threaded implants exclusively, push-in implants exclusively, or a combination of threaded and push-in implants.

A surgical kit for repairing a damaged ligament includes a first anchor configured to be secured to a first bone during a surgical procedure to repair the damaged ligament. Suture tape is pre-attached to the first anchor prior to the surgical procedure and extends from the first anchor to a free end. The suture tape is configured to extend over the damaged ligament.

Devices, systems, and methods to improve both the reliability of soft tissue repair procedures and the speed at which the procedures are completed are provided. The devices and systems include one or more tissue augmentation constructs, which include constructs that are configured to increase a footprint across which suture applied force to tissue when the suture is tied down onto the tissue. The tissue augmentation constructs can be quickly and easily associated with the repair suture, and can be useful in many different tissue repair procedures that are disclosed in the application. Tissue augmentation constructs can include various blocks and scaffolds, among other formations. The present disclosure includes, among other disclosures, methods for using tissue augmentation scaffolds, including folding scaffolds, and descriptions and methods associated with extra-wide tissue augmentation blocks.

A variety of configurations of implant management devices are provided. The configurations provide different combinations of features for maintaining a location of an implant with respect to the device and managing filaments of the implant. One exemplary embodiment of a device includes a generally rectangular-shaped body having an implantable body retainer, an opening disposed a distance apart from the retainer and configured to receive a ligament graft therein, and a fold extending across the body and intersecting the opening. Folding one end of the body towards a bottom surface of the body along the fold can form a filament loop engaging region to hold in tension a filament loop extending from the implant. Additional filament(s) associated with the implant can be managed by various filament retention features. Methods for preparing a ligament graft for implantation by relying upon indicia formed on a surface of the device body are also provided.