Devices and methods for fixating a graft tendon in a bone tunnel for a ligament reconstruction or repair procedure are provided. In general, the described implantable tissue fixation device includes first and second elongate, substantially rigid support members that are discrete elements separated from each other, and at least one flexible member connecting the rigid support members. The tissue fixation device can have changeable dimensions such that it has at least one dimension that is smaller in a delivery configuration than in a deployed configuration. In both delivery and deployed configurations, the first and second rigid support members are positioned in a non-intersecting orientation with respect to one another. A graft retention loop coupled to the tissue fixation device has the graft tendon coupled thereto and extending into the bone tunnel so as affix the graft into the bone.

A template for measuring the cross section of a graft comprises a first half-body and a second half-body. The two half-bodies are mutually secured such that they can rotate the one with respect to the other around an axis, each one of the two half-bodies comprises a plurality of openings having known and different sizes, each one of the openings of the two half-bodies is open toward the outside through an at least partially radial slot. The two half-bodies can rotate the one with respect to the other around the axis between an open position and a closed position and vice versa. In the open position the slots of the first half-body axially coincide with the slots of the second half-body, and in the closed position the openings of the first half-body axially coincide with the openings of the second half-body.

Disclosed are surgical constructs and methods of use for a one-way adjustable fixation loop that is formed by tying two knots in a surgical filament, each knot defining an individual adjustable loop and the individual adjustable loops being interconnected to form the one-way adjustable fixation loop. The knots enable a non-spliceable suture to be used in the creation of the one-way adjustable fixable loop. Embodiments can include a fixation device, such as a cortical button or plate for use in a bone tunnel, and enable the knots to work independent of and suspended below the fixation device. Embodiments can increase the compatibility of the adjustable fixation loop with existing fixation devices and can isolate and protect the knots from damage during use and after implantation.

A dynamic ligament repair device includes a suture, a femoral side suture anchor and a threaded screw or housing implant. The screw is configured for placement in the tibia, or alternatively in the femur. A spring is housed inside an axial bore in the threaded screw. In some embodiments, the spring is a compression spring. A moveable spring button is positioned inside the axial bore adjacent a distal end of the spring. The spring button engages the spring directly in some embodiments. In alternative embodiments, an intermediate structure such as a spacer is positioned between the spring button and the spring. The suture extends between the spring button and the suture anchor. When the joint flexes or extends, the spring button travels inside the axial bore and dynamically compresses or relaxes the spring.

A ligament assembly comprising a first ligament anchor (9) connected to a second ligament anchor (14) by a ligament (18) a resilient element (40) being associated with the first ligament anchor (9) and a ligament tension adjuster (44, 50) being associated with the second ligament anchor (14). The resilient element (40) may be disposed within the first ligament anchor (9) and the ligament tension adjuster (44, 50) may be disposed within the second ligament anchor (14).

A minimally invasive surgical drill guide includes an elongated drill jig having at least one drill guide opening for defining a location and drill element guide axis for placement of a surgical drill element. The drill jig can have an engagement end with engagement structure. A positioning arm includes an elongated shaft with an axis and a locating end portion shaped to engage a bony part of a patient. The elongated shaft can have engagement structure for engaging to the engagement structure of the drill jig to support the drill jig crosswise relative to the position arm and to support the drill guide opening of the drill jig at a location remote from the axis of the elongated shaft of the positioning arm. The drill jig can be detachable from the positioning arm. A method for minimally invasive surgical drilling is also disclosed.

A surgical device for arthroscopy includes an insertion arm having a folded contact end, a handle connected to a connection end of the insertion arm, opposite to the folded contact end, and extending transversely to the insertion arm, and a retrieval element connected to the insertion arm and mobile along the insertion arm between a retracted position and an extracted position in which it intercepts a leading end of a suture thread at the folded contact end, and mobile between the extracted position and the retracted position in which it holds the leading end. The retrieval element is a basket made of flexible material defining a containment volume for receiving said leading end of the suture thread. The containment volume is configured to expand in the transition between the retracted position and the extracted position and to shrink in the transition between the extracted position and the retracted position.

This disclosure relates to surgical fixation systems and methods. The surgical fixation systems can include a fixation device and an adjustable loop connected to the fixation device.

Bone anchors and bone anchor insertion systems are provided that enable smaller bone holes for inserting a bone anchor by eliminating the need for a cannula. Smaller bone holes may help reduce patient recovery times. The provided bone anchor includes two flexible wings extending from a base portion that splay away from the base portion's central axis at rest, though may be bent towards or away from the central axis in response to an applied force. The bone anchor includes a drive feature that enables an inserter to couple and decouple to the bone anchor. A surgeon may drive the bone anchor through a bone hole via the coupled inserter while the bone hole maintains the bone anchor in a compressed state, and may decouple the inserter when the bone anchor is properly positioned, thereby eliminating the need for a cannula.

An apparatus can include a first flexible member having first and second ends and a first body extending therebetween that defines a first passage portion. A second flexible member can include first and second ends and a second body extending therebetween that defines a second passage portion. The first end of the first flexible member can pass into and through the second passage portion in a first direction such that the first end extends outside of the second passage portion. The first end of the second flexible member can pass into and through the first passage portion in a second direction such that the first end of the second flexible member extends outside of the first passage portion to form a self-locking adjustable flexible member construct. Applying tension to the first ends can draw the passage portions and corresponding second ends toward each other.