Biceps tenodesis anchor implants
Various bone anchor assemblies and methods are provided for anchoring tissue to bone. In one embodiment, an anchor assembly for anchoring a tendon to bone is provided and includes a substantially cylindrical sheath having bone-engaging surface features formed on an external surface thereof, and having an inner lumen formed therein and extending from an open proximal end to a substantially closed distal. The substantially closed distal end includes at least one tendon anchoring feature extending distally therefrom and configured to facilitate anchoring of a tendon to bone. The anchor assembly further includes an expander having a generally elongate cylindrical configuration and being sized and shaped to be received within the inner lumen of the sheath.
1. An anchor assembly for anchoring a tendon to bone, comprising:
a substantially cylindrical sheath having bone-engaging surface features formed on an external surface thereof, and having an inner lumen formed therein and extending from an open proximal end to a closed distal end, the closed distal end having a threaded bore configured to receive a threaded tip of a guidewire therein, and the closed distal end having two tendon anchoring features defining a recess therebetween for seating a tendon; and
an expander having an elongate cylindrical configuration and being sized and shaped to be received within the inner lumen of the sheath, the expander having a lumen extending therethrough for receiving the guidewire.
2. The anchor assembly of claim 1 , wherein the two tendon anchoring features comprise two prongs extending distally from a distal-facing surface of the sheath.
3. The anchor assembly of claim 1 , wherein the tendon anchoring features comprise first and second barbed prongs extending parallel to one another.
4. The anchor assembly of claim 1 , wherein the two tendon anchoring features each comprise a prong having a distal pointed tip configured to penetrate through tissue.
5. The anchor assembly of claim 1 , wherein the sheath includes at least one rib formed on the external surface thereof and extending longitudinally in a proximal-distal direction.
6. The anchor assembly of claim 1 , wherein the expander includes a flange extending radially outward from a proximal end thereof.
7. An anchor assembly for anchoring a tendon to bone, comprising:
a sheath having a body having only two sidewalls extending proximally therefrom and forming first and second halves of the body, the sidewalls defining an inner lumen therebetween, and the sidewalls having threads formed on an internal surface thereof, the sheath having an internal distal threaded bore configured to mate with a threaded tip of a guidewire and the sheath having first and second tendon engaging features extending distally from a distal-most surface thereof, the tendon engaging features defining a graft seating recess therebetween; and
a threaded expander configured to be received between the two sidewalls and to threadably mate with the threads formed on the internal surface of the sidewalls;
wherein the sheath and the threaded expander are configured such that, when the expander is fully threaded into the sheath, the sheath expands radially outward to retain a tendon within a bone hole.
8. The anchor assembly of claim 7 , wherein the sidewalls include radial ribs and longitudinal ribs formed on an external surface thereof, the longitudinal ribs extending in a proximal-distal direction transverse to the radial ribs.
9. The anchor assembly of claim 7 , wherein an outer diameter of the sheath is tapered along a distal portion of the sheath.
10. The anchor assembly of claim 8 , wherein the radial ribs are formed on a proximal portion of the sheath and a distal portion of the sheath is rib-free.
11. An anchor assembly for anchoring a tendon to bone, comprising:
a substantially cylindrical sheath having bone-engaging surface features formed on an external surface thereof, and having an inner lumen formed therein and extending from an open proximal end to a closed distal end, the closed distal end having a threaded bore configured to receive a threaded tip of a guidewire therein and a fork-shaped distal end with first and second prongs configured to seat a tendon therebetween; and
an expander having an elongate cylindrical configuration and being sized and shaped to be received within the inner lumen of the sheath, the expander having a lumen extending therethrough for receiving the guidewire.