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FR2590792A1 - Ligament staple, in particular for implanting artificial joint ligaments - Google Patents

Ligament staple, in particular for implanting artificial joint ligaments Download PDF

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Publication number
FR2590792A1
FR2590792A1 FR8517965A FR8517965A FR2590792A1 FR 2590792 A1 FR2590792 A1 FR 2590792A1 FR 8517965 A FR8517965 A FR 8517965A FR 8517965 A FR8517965 A FR 8517965A FR 2590792 A1 FR2590792 A1 FR 2590792A1
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Prior art keywords
ligament
bone
bore
plug
staple
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FR8517965A
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French (fr)
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FR2590792B1 (en
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0817—Structure of the anchor
    • A61F2002/0823—Modular anchors comprising a plurality of separate parts
    • A61F2002/0835—Modular anchors comprising a plurality of separate parts with deformation of anchor parts, e.g. expansion of dowel by set screw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/0864—Fixation of tendon or ligament between anchor elements, e.g. by additional screws in the anchor, anchor crimped around tendon
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0876—Position of anchor in respect to the bone
    • A61F2002/0882—Anchor in or on top of a bone tunnel, i.e. a hole running through the entire bone

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Rehabilitation Therapy (AREA)
  • Rheumatology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

The present invention relates to a ligament staple, intended to anchor at the surface S of a bone the free end of an artificial tubular ligament L, in particular a joint ligament, which extends in a hole P made in the bone. According to the invention, this staple comprises a plug 3 which can be inserted in the free end of the ligament L and fitted inside the opening 7 through which the latter emerges from the bone. The ligament staple according to the invention more precisely comprises a body 2 which can be pressed into the hole P in the bone and which has a longitudinal bore 7, which is preferably conical, constituting the said opening through which the ligament emerges from the bone, the plug 3 itself having a frustoconical shape which is complimentary to that of this bore 7. In this way a staple/plug is produced which, after implantation, both fastens the bone to the ligament and provides complete leaktightness with respect to leaks of synovia.

Description

Agrafe à ligament, en particulier pour l'implantation de ligaments articulaires artificiels
La présente invention se rapporte à une agrafe à ligament, destinée à ancrer à la surface d'un os l'extrémité libre d'un ligament tubulaire artificiel, en particulier un ligament articulaire, qui s'étend dans un perçage ménagé dans l'os.Ligament staple, in particular for implanting artificial joint ligaments
The present invention relates to a ligament staple, intended to anchor to the surface of a bone the free end of an artificial tubular ligament, in particular an articular ligament, which extends in a hole made in the bone. .

On sait à l'heure actuelle remplacer les ligaments internes endommagés d'une articulation, tels que les ligaments croisés du genou, par des ligaments artificiels. It is now known to replace damaged internal ligaments of a joint, such as the cruciate ligaments of the knee, with artificial ligaments.

Pour implanter ces ligaments artificiels, on commence par réaliser, dans chacun des os de l'articulation, un perçage qui débouche, d'une part, sur le condyle et, d'autre part, en un point de la surface extérieure de l'os situé en dehors de l'enveloppe synoviale, puis on enfile dans ces deux perçages le ligament artificiel dont les extrémités libres sont ensuite fixées à l'os par des agrafes-pitons classiques. To implant these artificial ligaments, one begins by making, in each of the bones of the joint, a hole which opens, on the one hand, on the condyle and, on the other hand, at a point on the outer surface of the bone located outside the synovial envelope, then the artificial ligament is threaded into these two holes, the free ends of which are then fixed to the bone by conventional staples.

Bien que cette méthode d'implantation des ligaments artificiels préserve l'intégrité de l'enveloppe synoviale, des fuites de synovie peuvent malgré tout se produire à travers les perçages mal étanchéifies par le ligament et les agrafes-pitons. Il n'est dont pas rare que des implantations de ligaments articulaires artificiels soient suivies d'épanchements de synovie. Although this method of implantation of artificial ligaments preserves the integrity of the synovial envelope, synovium leaks can still occur through poorly sealed holes by the ligament and staples. It is therefore not uncommon for implantations of artificial joint ligaments to be followed by effusions of synovia.

La présente invention se propose de remédier à cet inconvénient et, pour ce faire, elle a pour objet une agrafe à ligament, telle que décrite en préambule, qui se caractérise en ce qu'elle comprend un bouchon insérable dans l'extrémité libre du ligament et emboîtable à l'intérieur de l'ouverture par laquelle ce dernier débouche de l'os. The present invention proposes to remedy this drawback and, to do this, it relates to a ligament staple, as described in the preamble, which is characterized in that it comprises a plug insertable into the free end of the ligament and nestable inside the opening through which the latter opens from the bone.

Avantageusement, cette agrafe à ligament comprend en outre un corps encastrable dans le perçage de l'os et présentant un alésage longitudinal constituant ladite ouverture par laquelle le ligament débouche de l'os, le bouchon possédant quant à lui une forme complémentaire de celle de cet alésage. Advantageously, this ligament staple further comprises a body which can be inserted into the bore of the bone and having a longitudinal bore constituting said opening through which the ligament opens out from the bone, the plug having in turn a shape complementary to that of this bore.

On dispose ainsi, grâce à l'invention de ce qu'il est convenu d'appeler une agrafe-bouchon qui, après implantation, réalise tout à la fois la fixation à l'os du ligament et une étanchéité totale vis-à-vis des fuites de synovie puisque, d'une part, le ligament est fermement coincé entre la paroi de l'alésage du corps et le bouchon emboîté dans celui-ci et que, d'autre part, son extrémité ouverte est complètement obturée par ce dernier.  There is thus, thanks to the invention of what is agreed to be called a staple-stopper which, after implantation, achieves both the fixation to the ligament bone and a total seal vis-à-vis synovia leaks since, on the one hand, the ligament is firmly wedged between the wall of the body bore and the plug fitted into it and, on the other hand, its open end is completely closed by the latter .

Par ailleurs, un mode de réalisation préféré de l'invention prévoit qu'à partir de son ouverture d'insertion du bouchon, l'alésage du corps s'effile sous une forme conique, sur au moins une partie de sa longueur et que le bouchon présente une forme tronconique correspondante. Furthermore, a preferred embodiment of the invention provides that from its opening for insertion of the plug, the bore of the body tapers in a conical shape, over at least part of its length and that the cap has a corresponding frustoconical shape.

Cette disposition garantit une fixation permanente du ligament à l'os, même dans le cas où celui-ci serait trop fortement sollicité en traction. This arrangement guarantees permanent attachment of the ligament to the bone, even if the latter is too strongly stressed in traction.

En pareil cas en effet, le bouchon tronconique serait tiré vers le fond de la partie conique de l'alésage du corps et continuerait à exercer son action de blocage du ligament grâce à un effet de coin.In such a case, in fact, the frustoconical plug would be pulled towards the bottom of the conical part of the bore of the body and would continue to exert its action of blocking the ligament thanks to a wedge effect.

Selon une autre caractéristique de l'invention, le corps de l'agrafe porte, sur son extrémité d'insertion du bouchon, une tête aplatie saillant latéralement, pour pouvoir être maintenu en appui contre la surface extérieure de l'os. According to another characteristic of the invention, the body of the clip carries, on its insertion end of the stopper, a flattened head projecting laterally, so as to be able to be held in abutment against the external surface of the bone.

En outre d'autres dispositions, telles que la présence d'un épaulement arrondi à l'extrémité de la partie conique de l'alésage du corps et/ou la formation de stries radiales sur la paroi de celle-ci, participent au maintien en place du ligament dans l'agrafe. In addition, other arrangements, such as the presence of a rounded shoulder at the end of the conical part of the bore of the body and / or the formation of radial grooves on the wall thereof, participate in maintaining place the ligament in the staple.

Un mode de réalisation préféré de la présente invention va maintenant être décrit plus en détails, mais uniquement à titre d'exemple non-limitatif, en référence au dessin annexé dans lequel
la figure 1 est une vue schématique en coupe partielle de l'articulation du genou d'un patient, dans laquelle un ligament artificiel a été implanté à l'aide d'agrafes conformes à ce mode de réalisation de l'invention et
la figure 2 est une vue en coupe à plus grande échelle d'une agrafe à ligament visible sur la figure 1.A preferred embodiment of the present invention will now be described in more detail, but only by way of non-limiting example, with reference to the accompanying drawing in which
FIG. 1 is a schematic view in partial section of the knee joint of a patient, in which an artificial ligament has been implanted using staples in accordance with this embodiment of the invention and
FIG. 2 is an enlarged sectional view of a ligament staple visible in FIG. 1.

Dans l'articulation du genou représentée sur la figure 1, les ligaments naturels croisés, qui étaient endommagés, ont été remplacés par des ligaments artificiels, dont un seul L a été dessiné. D'une manière connue en soi, ces ligaments artificiels sont tubulaires et sont réalisés en une matière synthétique qui est en général du "Dacron".  In the knee joint shown in Figure 1, the crossed natural ligaments, which were damaged, were replaced by artificial ligaments, of which only one L was drawn. In a manner known per se, these artificial ligaments are tubular and are made of a synthetic material which is generally "Dacron".

Pour implanter chacun de ces ligaments artificiels L, on commence par pratiquer deux perçages P, respectivement dans le fémur F et le tibia T, en les faisant déboucher d'une part sur la surface extérieure S de ces os, en des points situés en dehors de l'enveloppe synoviale E, et d'autre part sur les condyles Cen deux points éloignés l'un de l'autre. Puis, on enfile le ligament artificiel L dans les deux perçages P, entre lesquels il traverse ainsi en biais l'interstice articulaire A, et enfin on fixe les extrémités libres du ligament sur les surfaces extérieures S des os, à l'aide d'agrafes 1,la, dont une 1 est reptésentée à plus grande échelle sur la figure 2. To implant each of these artificial ligaments L, one begins by practicing two holes P, respectively in the femur F and the tibia T, by making them lead on the one hand on the external surface S of these bones, at points located outside of the synovial envelope E, and on the other hand on the condyles Cen two points distant from each other. Then, we thread the artificial ligament L into the two holes P, between which it thus crosses the articular gap A, and finally we fix the free ends of the ligament on the outer surfaces S of the bones, using staples 1, la, one of which 1 is shown on a larger scale in FIG. 2.

Comme on peut le voir, cette agrafe, qui constitue en fait l'objet de la présente invention, se compose de deux éléments distincts, à savoir un corps tubulaire 2 et un bouchon 3 emboîtable dans ce dernier, ces deux éléments étant de préférence réalisés en un métal inoxydable. As can be seen, this clip, which in fact constitutes the subject of the present invention, consists of two distinct elements, namely a tubular body 2 and a plug 3 which can be fitted into the latter, these two elements preferably being produced stainless steel.

Le corps est plus précisément formé par une courte tige 4 qui porte, à l'une de ses extrémités, une tête aplatie 5 saillant latéralement et qui s'effile très légèrement en direction de son extrémité libre 6 opposée à la tete 5. The body is more precisely formed by a short rod 4 which carries, at one of its ends, a flattened head 5 projecting laterally and which tapers very slightly towards its free end 6 opposite the head 5.

Le corps 2 présente en outre un alésage central longitudinal 7 ouvert à ses deux extrémités. Depuis son ouverture 8 débouchant sur la tête 5, cet alésage 7 s'effile sous une forme sensiblement conique sur une partie de sa longueur et, au-delà d'un épaulement arrondi 9, il se termine par une embouchure 10 qui s'évase en direction de l'extrémité libre 6 de la tige 4. On notera encore qu'à proximité de l'épaulement 9, la paroi de la partie conique 11 de l'alésage 7 présente des stries radiales 12. The body 2 also has a longitudinal central bore 7 open at its two ends. From its opening 8 opening onto the head 5, this bore 7 tapers in a substantially conical shape over part of its length and, beyond a rounded shoulder 9, it ends in a mouth 10 which widens towards the free end 6 of the rod 4. It will also be noted that near the shoulder 9, the wall of the conical part 11 of the bore 7 has radial grooves 12.

Le bouchon 3 est quant à lui constitué par une pièce tronconique aìlongée, présentant sensiblement la même conicité que la partie 11 de l'alésage 7 tout en possédant des dimensions transversales légèrement inférieures à celles de cette dernière. The plug 3 is in turn constituted by an elongated frustoconical part, having substantially the same conicity as the part 11 of the bore 7 while having transverse dimensions slightly smaller than those of the latter.

Pour fixer un ligament artificiel à l'aide de l'agrafe qui vient d'être décrite, on opère de la manière suivante. To fix an artificial ligament using the clip that has just been described, the procedure is as follows.

En premier lieu, on extrait légèrement l'extrémité libre du ligament
L hors du perçace P et on l'enfile dans l'alésage 7 du corps 2 de l'agrafe, en ;'introduisant par l'embouchure 10 de ce dernier, dont la forme évasée facilite cette opération. Puis, tout en retenant le ligament, on encastre le corps 2 dans le perçage P de l'os, préalablement usiné à la forme de la tige 4, jusqu'à ce que sa tête 5 soit au contact de la surface S de l'os. Enfin, après avoir sectionné la partie du ligament émergeant de la tete 5, on emboîte à force, par son extrémité effilée, le bouchon 3 dans la partie conique 11 de l'alésage 7 du corps 2. Il s'ensuit que l'extrémité libre du ligament L est coincée entre corps 2 et le bouchon 3 lequel assure en outre une étanchéité contre les fuites de synovie.First, we slightly extract the free end of the ligament
L out of the hole P and it is threaded into the bore 7 of the body 2 of the clip, by; 'introducing through the mouth 10 of the latter, whose flared shape facilitates this operation. Then, while retaining the ligament, the body 2 is embedded in the bore P of the bone, previously machined to the shape of the rod 4, until its head 5 is in contact with the surface S of the bone. Finally, after having cut the part of the ligament emerging from the head 5, the plug 3 is forced into place, by its tapered end, in the conical part 11 of the bore 7 of the body 2. It follows that the end free ligament L is wedged between body 2 and the plug 3 which also provides a seal against synovia leaks.

Pour parfaire cette étanchéité, on peut éventuellement chauffer le
ligament L autour du bouchon 3 pour que la matière synthétique dont il est fait, vienne adhérer par ramollissement au bouchon et à la tête 5 du corps 2.To perfect this seal, you can optionally heat the
ligament L around the plug 3 so that the synthetic material of which it is made, adhere by softening to the plug and to the head 5 of the body 2.

Il est encore à noter que ltépaulement 9 et les stries 12 de l'alésage du corps 2 s'opposent à un éventuel glissement du ligament L vers l'intérieur de l'os. Malgré tout, en supposant même qu'un tel glissement ait lieu, dans le
cas par exemple d'une trop forte sollicitation en traction du ligament, le bouchon 3 serait légèrement tiré vers le fond de la partie conique 1 de l'alésage
7 et continuerait à exercer un peu plus profondément son action de blocage sur
le ligament.It should also be noted that the shoulder 9 and the grooves 12 in the bore of the body 2 oppose any sliding of the ligament L towards the inside of the bone. Despite everything, even supposing that such a shift takes place, in the
for example, if the ligament is under too high a tensile stress, the plug 3 would be slightly pulled towards the bottom of the conical part 1 of the bore
7 and would continue to exert its blocking action a little more deeply on
the ligament.

Dans ce qui précède, on a décrit une agrafe-bouchon dont la tête 5 est sensiblement perpendiculaire à l'axe longitudinal de l'alésage 7 du corps 2. In the foregoing, a stopper clip has been described, the head 5 of which is substantially perpendicular to the longitudinal axis of the bore 7 of the body 2.

Toutefois, il va de soi que l'invention couvre également des agrafes-bouchons dont la tête sera inclinée par rapport à cet axe pour permettre l'ancrage d'un ligament artificiel sur une surface osseuse non-perpendiculaire à l'axe du per çage dont il débouche. Une telle agrafe-bouchon à tête inclinée est représentée en la sur la figure 1. However, it goes without saying that the invention also covers staples-stoppers whose head will be inclined relative to this axis to allow the anchoring of an artificial ligament on a bone surface not perpendicular to the axis of the drilling from which it emerges. Such an inclined head staple is shown in la in FIG. 1.

Claims (6)

REVENDICATIONS 1. Agrafe à ligament, destinée à ancrer à la surface (S) d'un os l'extrémité libre d'un ligament tubulaire artificiel (L), en particulier un ligament articulaire, qui s'étend dans un perçage (P) ménagé dans l'os, caractérisée en ce que cette agrafe (1) comprend un bouchon (3) insérable dans l'extrémité libre du ligament (L) et emboîtable à l'intérieur de l'ouverture (7) par laquelle ce dernier débouche de l'os.  1. Ligament clip, intended to anchor to the surface (S) of a bone the free end of an artificial tubular ligament (L), in particular an articular ligament, which extends in a bore (P) provided in the bone, characterized in that this clip (1) comprises a plug (3) insertable in the free end of the ligament (L) and nestable inside the opening (7) through which the latter opens out the bone. 2. Agrafe à ligament selon la revendication 1, caractérisée en ce qu'elle comprend un corps (2) encastrable dans le perçage (P) de l'os et présentant un alésage longitudinal (7) constituant ladite ouverture par laquelle le ligament débouche de l'os, le bouchon (3) possèdant quant à lui une forme complémentaire de celle de cet alésage (7). 2. ligament clip according to claim 1, characterized in that it comprises a body (2) recessed in the bore (P) of the bone and having a longitudinal bore (7) constituting said opening through which the ligament emerges from the bone, the plug (3) having a shape complementary to that of this bore (7). 3. Agrafe à ligament selon la revendication 2, caractérisée en ce qu'à partir de son ouverture (8) d'insertion du bouchon, l'alésage (7) du corps (2) s'effile sous une forme conique, sur au moins une partie (11) de sa longueur, et le bouchon (3) présente une forme tronconique correspondante. 3. ligament clip according to claim 2, characterized in that from its opening (8) for inserting the plug, the bore (7) of the body (2) tapers in a conical shape, on at at least part (11) of its length, and the plug (3) has a corresponding frustoconical shape. 4. Agrafe à ligament selon la revendication 3, caractérisée en ce que la partie conique (11) de l'alésage (7) se termine par un épaulement arrondi (9).  4. Ligament clip according to claim 3, characterized in that the conical part (11) of the bore (7) ends in a rounded shoulder (9). 5. Agrafe à ligament selon la revendication 3 ou 4, caractérisée en ce que la paroi de la partie conique (11) de l'alésage (7) est pourvue de stries radiales (12) 5. ligament clip according to claim 3 or 4, characterized in that the wall of the conical part (11) of the bore (7) is provided with radial grooves (12) 6. Agrafe à ligament selon l'une quelconque des revendications 2 à 5, caractérisée en ce que le corps (2) porte, sur son extrémité d'insertion du bouchon, une tête aplatie (5) saillant latéralement.  6. ligament clip according to any one of claims 2 to 5, characterized in that the body (2) carries, on its insertion end of the plug, a flattened head (5) projecting laterally.
FR8517965A 1985-12-04 1985-12-04 LIGAMENT CLIP, PARTICULARLY FOR THE IMPLANTATION OF ARTIFICIAL ARTICULAR LIGAMENTS Expired - Lifetime FR2590792B1 (en)

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Application Number Priority Date Filing Date Title
FR8517965A FR2590792B1 (en) 1985-12-04 1985-12-04 LIGAMENT CLIP, PARTICULARLY FOR THE IMPLANTATION OF ARTIFICIAL ARTICULAR LIGAMENTS

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FR8517965A FR2590792B1 (en) 1985-12-04 1985-12-04 LIGAMENT CLIP, PARTICULARLY FOR THE IMPLANTATION OF ARTIFICIAL ARTICULAR LIGAMENTS

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FR2590792B1 FR2590792B1 (en) 1992-09-18

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Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0331712A1 (en) * 1987-09-02 1989-09-13 Russell F. Warren Surgical fastener
WO1992016167A1 (en) * 1991-03-21 1992-10-01 Bahaa Botros Seedhom Implantable fixing device for knee ligament prosthesis
ES2073379A1 (en) * 1993-02-16 1995-08-01 Neoligaments Ltd Prosthetic ligament implant
US5899938A (en) * 1996-11-27 1999-05-04 Joseph H. Sklar Graft ligament anchor and method for attaching a graft ligament to a bone
US6086591A (en) * 1999-01-29 2000-07-11 Smith & Nephew, Inc. Soft tissue anchor
US6132442A (en) * 1999-03-25 2000-10-17 Smith & Nephew Graft clamp
US6221107B1 (en) 1998-08-03 2001-04-24 Mark E. Steiner Ligament fixation device and method
US6231606B1 (en) 1996-02-16 2001-05-15 Smith & Nephew, Inc. Graft anchor
EP1156760A1 (en) * 1999-02-09 2001-11-28 Joseph H. Sklar Graft ligament anchor and method for attaching a graft ligament to a bone
US6554862B2 (en) 1996-11-27 2003-04-29 Ethicon, Inc. Graft ligament anchor and method for attaching a graft ligament to a bone
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WO2006103598A1 (en) * 2005-03-31 2006-10-05 Bächler Feintech Ag Device for fixing a ligament
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EP0331712A1 (en) * 1987-09-02 1989-09-13 Russell F. Warren Surgical fastener
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ES2073379A1 (en) * 1993-02-16 1995-08-01 Neoligaments Ltd Prosthetic ligament implant
US6231606B1 (en) 1996-02-16 2001-05-15 Smith & Nephew, Inc. Graft anchor
US6336940B1 (en) 1996-02-16 2002-01-08 Smith & Nephew, Inc. Graft anchor
US6554862B2 (en) 1996-11-27 2003-04-29 Ethicon, Inc. Graft ligament anchor and method for attaching a graft ligament to a bone
US5899938A (en) * 1996-11-27 1999-05-04 Joseph H. Sklar Graft ligament anchor and method for attaching a graft ligament to a bone
US7578844B2 (en) 1996-11-27 2009-08-25 Joseph H. Sklar Graft ligament anchor and method for attaching a graft ligament to a bone
US7329281B2 (en) 1996-11-27 2008-02-12 Ethicon, Inc. Graft ligament anchor and method for attaching a graft ligament to a bone
US7083647B1 (en) 1996-11-27 2006-08-01 Sklar Joseph H Fixation screw, graft ligament anchor assembly, and method for securing a graft ligament in a bone tunnel
US6932841B2 (en) 1996-11-27 2005-08-23 Joseph H. Sklar Graft ligament anchor and method for attaching a graft ligament to a bone
US6221107B1 (en) 1998-08-03 2001-04-24 Mark E. Steiner Ligament fixation device and method
US6086591A (en) * 1999-01-29 2000-07-11 Smith & Nephew, Inc. Soft tissue anchor
US8778023B2 (en) 1999-02-09 2014-07-15 Joseph H. Sklar Graft ligament anchor and method for attaching a graft ligament to a bone
EP1156760A4 (en) * 1999-02-09 2002-06-26 Joseph H Sklar Graft ligament anchor and method for attaching a graft ligament to a bone
US6939379B2 (en) 1999-02-09 2005-09-06 Joseph H. Sklar Graft ligament anchor and method for attaching a graft ligament to a bone
EP1156760A1 (en) * 1999-02-09 2001-11-28 Joseph H. Sklar Graft ligament anchor and method for attaching a graft ligament to a bone
US6533816B2 (en) 1999-02-09 2003-03-18 Joseph H. Sklar Graft ligament anchor and method for attaching a graft ligament to a bone
US7837731B2 (en) 1999-02-09 2010-11-23 Sklar Joseph H Graft ligament anchor and method for attaching a graft ligament to a bone
US10143547B2 (en) 1999-02-09 2018-12-04 Joseph H. Sklar Graft ligament anchor and method for attaching a graft ligament to a bone
US6132442A (en) * 1999-03-25 2000-10-17 Smith & Nephew Graft clamp
EP2080491A1 (en) 2001-09-28 2009-07-22 Ethicon, Inc. Graft ligament anchor
WO2006103598A1 (en) * 2005-03-31 2006-10-05 Bächler Feintech Ag Device for fixing a ligament
US8747470B2 (en) 2006-09-29 2014-06-10 Depuy Mitek, Llc Femoral fixation
US9265602B2 (en) 2006-09-29 2016-02-23 Depuy Mitek, Llc Femoral fixation
US9592115B2 (en) 2006-09-29 2017-03-14 Depuy Mitek, Llc Femoral fixation
US9907646B2 (en) 2006-09-29 2018-03-06 Depuy Mitek, Llc Femoral fixation
US8226714B2 (en) 2006-09-29 2012-07-24 Depuy Mitek, Inc. Femoral fixation
US10441409B2 (en) 2006-09-29 2019-10-15 Depuy Synthes Products, Inc Femoral fixation
US20150289866A1 (en) * 2014-04-10 2015-10-15 Bowen Mark K Locking Device and Method of Use

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