Knotless suture anchor with unthreaded nose
A suture anchor has a tubular body having an axial bore therethrough with one or more purchase enhancements on an exterior surface of the body adapted to enhance purchase of the body within a bone hole. These are preferably screw threads. A distal nose of the suture body has a smooth exterior surface. A length of suture passes down along the exterior surface over the purchase enhancements, over the distal nose, and up into the bore. The smooth exterior surface of the distal nose allows tension of the suture to be held by the engagement of the nose within the bone hole thus making it easier to obtain proper tension as the remaining portion is engaged into the bone hole to provide final fixation.
1. A suture anchor comprising:
an anchor body comprising an outer tubular wall and an axial bore therethrough one or more purchase enhancements on an exterior surface of the outer tubular wall adapted to enhance purchase of the anchor body within a bone hole; a lateral port passing through the anchor body and being disposed within the one or more purchase enhancements;
a distal end of the outer tubular wall forming a distal nose with the exterior surface of the outer tubular wall at the distal nose being smooth, the purchase enhancements not being located on the distal nose; and
a length of suture passing down along the exterior surface over the one or more purchase enhancements, over and in engagement with a distal end of the outer tubular wall and then up into the bore and through the lateral port.
2. A suture anchor according to claim 1 wherein the one or more purchase enhancements comprise at least one screw thread about the exterior surface.
3. A suture anchor according to claim 2 wherein the distal nose has a diameter equal to a root diameter of the at least one screw thread.
4. A suture anchor according to claim 1 wherein the nose has a length of at least one and one half times its diameter.
5. A suture anchor according to claim 1 which is sterile and formed of a biocompatible material.
6. A suture anchor according to claim 5 wherein the anchor body is formed of a bioabsorbable material.
7. A method for affixing tissue to bone comprising the steps of:
passing a length of suture through the tissue;
passing the length of suture through a suture anchor which comprise an anchor body comprising an outer tubular wall and having an axial bore therethrough, one or more purchase enhancements on an exterior surface of the outer tubular wall adapted to enhance purchase of the anchor body within a bone hole, a lateral port passing through the anchor body and being disposed within the one or more purchase enhancements, and a distal end of the outer tubular body forming a distal nose, the exterior surface of the outer tubular wall at the distal nose being smooth, the purchase enhancements not being located on the distal nose, the suture passing down along the exterior surface over the one or more purchase enhancements, over and in engagement with a distal end of the outer tubular wall and then up into the bore and through the lateral port;
tensioning the suture between the tissue and the anchor to a desired tension and placing the distal nose into a bone hole in the bone thereby frictionally engaging the suture between the distal nose and the bone sufficiently to hold the desired tension; and
embedding the remainder of the suture anchor into the bone adjacent to the tissue and trapping the suture between the suture anchor body and the bone.
8. A method according to claim 7 wherein the purchase enhancements comprise at least one screw thread and wherein the step of embedding the suture anchor into the bone comprises threading the suture anchor into the bone hole.
9. A method according to claim 7 wherein the step of embedding the suture anchor into the bone is performed while maintaining an essentially fixed length of the suture between the bone hole and the tissue.
10. A method according to claim 7 wherein the bone hole has a diameter less than a diameter of the distal nose.
11. A method according to claim 10 wherein the bone hole diameter is at least 10 percent less than the diameter of the distal nose.