Surgical filament snare assemblies
A surgical filament snare assembly including an anchor capable of being fixated in bone and having a filament engagement feature. A first filament has a noose on a first portion of at least a first limb and has a second portion connected to the filament engagement feature of the anchor. Preferably, at least one free filament limb, which in some embodiments is a length of the first filament and in other embodiments is a second filament, is capable of being passed through tissue to be repaired and has at least one end passable through the noose to enable incremental tensioning of the tissue after the anchor is fixated in bone. The noose strangulates the free filament limb when tension is applied to at least one of the free filament limb and the noose.
1. A method of surgically repairing tissue, comprising:
selecting an anchor capable of being fixated in bone and having a filament engagement feature;
selecting a first filament having a noose on a first portion of at least a first limb and having a second portion connected to the filament engagement feature of the anchor;
fixating the anchor in bone;
selecting at least a first free filament limb and passing it through the tissue to be repaired;
passing at least one end of the first free filament limb through the noose; and
tensioning the tissue as desired after the anchor is fixated in bone, the noose strangulating the first free filament limb when tension is applied to at least one of the free filament limb and the noose,
wherein the noose is formed from at least one half hitch having at least three openings, and at least the first free filament limb and a second free filament limb are passed through different openings in the half hitch.
2. The method of claim 1 wherein the first free filament limb is selected from a length of a second filament.
3. The method of claim 2 wherein the second filament includes the second free filament limb which is also passed through the noose such that the tissue is captured between the first and second free filament limbs.
4. The method of claim 1 wherein the first free filament limb is selected from a length of the first filament.
5. The method of claim 4 wherein the first filament includes the second free filament limb which is also passed through the noose such that the tissue is captured between the first and second free filament limbs.
6. The method of claim 1 wherein tensioning the tissue includes retracting the noose toward the anchor.
7. The method of claim 1 further including placing a stopper element on the first and second free filament limbs after they are passed through the noose to inhibit withdrawal of the first and second free filament limbs from the noose.
8. The method of claim 7 wherein a knot is tied and slid toward the noose to serve as the stopper element.
9. The method of claim 1 wherein passing the at least one end of the first free filament includes removably inserting at least one tube into the noose, passing at least the one end of the first free filament limb through the tube, and then removing the tube from the noose.
10. The method of claim 1 further including removably inserting at least two tubes into different openings of the half hitch to provide passages for at least two ends of the first and second free filament limbs, passing at least one end of one of the first and second free filament limbs through one of the tubes and passing at least one end of another of the first and second free filament limbs through the other tube, and then removing the tubes from the noose.
11. The method of claim 10 wherein the tubes are joined together, and each tube is slotted to facilitate removal of the first and second free filament limbs from the tubes.