The present invention pertains to a hollow two-section implantation knotless suture anchor which comprises a main body, a tightening element and a taper. The main body comprises a front part, a rear part, a middle part, a first penetration part, a first accommodation space, a first thread, a tapered structure, and a perforation. The tightening element comprises a second penetration part and a second accommodation space. The taper comprises a taper body and a taper head. Moreover, the suture can pass through the perforation on the outside of the main body through the perforation. Afterthat it can pass through the first accommodation space and then the second accommodation space on the outside of the tightening element from the side of the tightening element opposite to the main body. Finally, it can extend on the outside of the main body. Hence, by pulling the ends of the suture, the tightness of the suture tightened by the tightening element and the front part is adjustable. Also, when the taper body of the first penetration and the second penetration is positioned, the taper head is next to the tightening element. Thus, by rotating the taper, both the main body and the tightening element are rotatable.

A method of replacing an ACL with a graft. The method provides for the drilling bone tunnels in a femur and a tibia. A replacement graft is provided having first and second ends. A biodegradable composite screw is provided. The screw is made from a biodegradable polymer and a bioceramic or a bioglass. At least one end of the graft is secured in a bone tunnel using the biodegradable composite screw.

The present invention provides an anchor system for musculoskeletal applications, e.g., for anchoring tendons or ligaments to bone or anchoring two or more bone sections. The anchor system comprises a substantially solid pre-manufactured distal portion (i.e., anchor component) and a settable, biodegradable composite. The biodegradable composite is flowable at the time of delivery and is introduced into the fixation site before or after the anchor component. Both the anchor component and the biodegradable composite may be manufactured from citrate-based polymers.

An implant IM for planar connection of tissue to bone, wherein the implant IM comprises a clamping surface 1, wherein the clamping surface 1 comprises an outer edge 3 and an inner edge 4, wherein the outer edge 3 is connected at least partially to the inner edge 4 at least partially by means of at least one connecting web 5, and/or in that the clamping surface 1 comprises an outer edge 3 and at least one opening 7′, 7″ arranged within the clamping surface 1, wherein the opening 7′, 7″ is connected by means of at least one connecting web 5 at least to a partial area of the outer edge 4 of the clamping surface 1, wherein the clamping surface 1 has a circular or oval or polygonal circumference, in particular a rotationally symmetrical and/or mirror-symmetrical contour, wherein the clamping surface 1 has an opening 7′, 7″, wherein the opening 7′, 7″ is designed for receiving a securing means 2′, wherein the securing means 2′ comprises a pin 10, a head 8 and a neck 9.

A surgical implant for fixing a soft tissue to a bone comprising a staple and a plate. The staple and the plate are positionable on an instrument in such a way that the plate may be manipulated with the instrument to hold the soft tissue against the bone and in such a way that the staple is fixable to the bone with the plate positioned between a bridge of the staple and the soft tissue when legs of the staple are driven through the plate and into the bone.

Methods and devices are provided for anchoring a ligament or tendon to bone. In general, various inserter tools are provided for simultaneously delivering an expandable sheath and an expander into bone. With both components of the implant mounted on the same tool, the sheath and a ligament can be advanced into a bone hole and the expander, which trails behind the sheath during delivery of the sheath, can be advanced into the sheath to expand the sheath and anchor the sheath and ligament within the bone hole.

Surgical devices and methods are provided for anchoring tissue to bone, and more particularly methods and devices are provided for preventing over-insertion of an expander into a sheath of a two-piece anchor. For example, a tendon anchoring system is provided with an anchor assembly and an inserter tool. The anchor assembly includes a sheath with a threaded lumen and a threaded expander screw configured to be threadably disposed within the sheath to cause the sheath to expand outward. The inserter tool includes an elongate outer shaft with a distal end configured to couple to a proximal end of the sheath, and an elongate inner shaft with a distal drive tip configured to engage a proximal end of the expander screw. In one embodiment, the inner shaft can be rotatable relative to the outer shaft to thread the expander screw into the sheath, and the inner shaft can be prevented from rotating relative to the outer shaft when the expander screw is fully threaded into the sheath to prevent over-insertion of the expander screw into the sheath.

The present disclosure relates, in some aspects, to orthopedic implants for securing soft tissue to bone and methods for using the same. One particular implant comprises a first exposed porous surface region, having pores for promoting bone ingrowth, and a second exposed porous surface, having pores for promoting soft tissue ingrowth. At least some of the pores of the first exposed porous surface region may be seeded with osteocytic factors and at least some of the pores of the second exposed porous surface region may be seeded with fibrocytic factors. Such orthopedic implants can advantageously facilitate regeneration of the soft tissue to bone interface.

Techniques and reconstruction systems for soft tissue surgical repairs. The biceps tenodesis technique of the present invention provides fixation of a single diameter of the biceps tendon in a socket without the need for externalizing the tendon and without the need to pass any suture (or similar material) through any portion of the tendon (i.e., without the need to stitch or whipstitch any area/portion of the tendon). The technique improves the biomechanics of the combined fixation and helps overcome surgeons' concerns about rapid return to ADLs.

A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. The apparatus includes a member to pull the soft tissue implant into a femoral tunnel. The member includes a suture having first and second ends which are passed through first and second openings associated with the longitudinal passage to form a pair of loops. A collapsible tube is positioned about the suture. Application of tension onto the suture construction causes retraction of the soft tissue implant into the femoral tunnel and the collapse of the tube to form an anchor.