A system and method for improving limb function through the use of percutaneous mechanical and neural interfaces. The system generally uses a hollow long bone axial rod that is inserted into the long bone medullary cavity. A transfer rod with a central channel is mounted to the long bone axial rod. An exterior body attachment is connected to the transfer rod and attachment rings attach muscle groups, fascia layers and dermal layers to the transfer rod. Additionally, the system is configured to collect and transmit nerve signaling data to an external processor and additionally configured to transmit data from the external processor to the plurality of nerves.

A graft retention device has an elongated body with a first and second ends and a midpoint therebetween. A pair of elongated slots formed through the body defines a tang therebetween. A graft retention loop is disposed over the tang and is slidable therealong. A trailing line connects to the body adjacent the slots and extends therefrom through the graft retention loop toward the first end. Tension applied to the trailing line thus tends to urge the graft retention loop away from the first end and toward the midpoint.

A cable-lock device includes a housing, having a length-axis between a distal end for accepting a cable and a proximal end for exiting a cable, including a first bore parallel to the length-axis of the housing and configured to allow passage of the cable, a second bore off-center from and parallel to the first bore including a tappet axially displaceable in the second bore and parallel to the length axis of the housing, and a third bore oblique to the first bore which intersects with the first bore including a locking roller axially displaceable in the third bore with a predetermined angulation to the length-axis of the housing, a resilient structure which exerts a force on the locking roller in the direction of the intersection of the first bore and the third bore, and a fastener unit at the proximal end of the third bore.

An ultrasonic vibration transmittable probe includes a probe body configured to transmit ultrasonic vibration generated by an ultrasonic transducer. A treatment section is provided on a distal end side of the probe body along its longitudinal axis and is configured to cut a treatment object with the ultrasonic vibration. The treatment section includes at least two cutting surfaces and an edge portion having a different shape than an outermost edge of the treatment section.

Soft anchor constructs and methods for soft tissue to bone repairs. The soft anchors may be knotted or knotless constructs. The soft anchors include a body formed of various soft materials (including, but not limited to, suture) and provided in various shapes and configurations that confer the anchors the ability to be easily inserted within bone tunnels or sockets and be bunched up within the bone tunnels or sockets. At least one closed loop or soft eyelet is attached to the soft anchor to allow additional sliding strands and/or shuttle/pull devices (suture passing devices) to pass through the eyelet and aid in the knotted or knotless fixation of tissue to bone.

A graft is prepared for attachment to an acromion. Two sutures are attached to corners of the graft. The two sutures are loaded into an introducer instrument, and the introducer instrument spreads the graft open. The graft is then positioned under the acromion. Strands of like sutures are tied on a medial side of the acromion to attach the graft to the acromion. The sutures are trimmed after knotting, securing the graft to the acromion.

Devices and methods for reinforcing tissue grafts are described herein. In one embodiment, an implant is described that includes a proximal end portion having a through-hole formed therein, a distal end portion, and a reinforcing insert disposed in the through-hole. The insert includes a proximal face, a distal face opposed to the proximal face, a first upper surface extending between the proximal and distal faces and having a generally convex shape that abuts against at least a portion of a sidewall of the through-hole, and a second lower surface extending between the proximal and distal faces and having a generally concave shape. The second lower surface and portions of the sidewall of the through-hole not abutted by the first upper surface form a reinforced through-hole of the implant.

A method and apparatus for coupling a soft tissue implant into a locking cavity formed within a bone is disclosed. A bone engaging fastener is coupled to bone. A second fastener is coupled to a suture construction. The second fastener is coupled to the first fastener. Soft tissue is coupled to the suture construction.

A sling suspension system for supporting the thumb of a patient after basal joint arthroplasty, the sling suspension system comprising: an index metacarpal anchor, a thumb metacarpal anchor and a sling for securing the thumb metacarpal anchor to the index metacarpal anchor; the index metacarpal anchor comprising at least one bone-engaging element for engaging the index metacarpal and a sling-engaging element for capturing the sling to the index metacarpal anchor; the thumb metacarpal anchor comprising at least one bone-engaging element for engaging the thumb metacarpal and a sling-engaging element for capturing the sling to the thumb metacarpal anchor; and the sling comprising an elongated body having a first anchor-engaging element for securing the sling to the sling-engaging element of the index metacarpal anchor, and a second anchor-engaging element for securing the sling to the sling-engaging element of the thumb metacarpal anchor, wherein the second anchor-engaging element is adjustable.

An implant comprising at least three components, namely, a solid hydrogel, a porous hydrogel adjacent to or surrounding the solid hydrogel (together considered the hydrogel), and a porous rigid base. The solid hydrogel and porous rigid base carry joint load, and the porous hydrogel layer and the porous rigid base allow for cellular migration into and around the implant. The invention is also a novel method of manufacturing the implant, a novel method of implanting the implant, and a method of treating, repairing or replacing biological tissue, more preferably musculoskeletal tissue, with the implant.