Flexible implant with adjustable coils
Devices and methods for securing a graft with respect to bone are provided. One exemplary embodiment of a surgical implant includes a flexible filament body and a suture filament or repair construct that extends through the filament body at multiple locations. The repair construct is formed into one or more coils, which can receive a graft. The flexible filament body can be configured to be actuated between unstressed and anchoring configurations, the latter of which sets a location of the suture filament, and associated graft, in a bone tunnel. More particularly, the flexible filament body can ball up, or become denser, to a size that cannot pass into the bone tunnel in which the suture filament holding the graft is disposed. The present disclosure also provides for feedback units to assist a surgeon in knowing a location of the implant. Further, other exemplary devices and methods are provided.
1. A surgical method, comprising:
loading a graft onto one or more coils of a suture filament that is coupled to a flexible filament body, the flexible filament body having a shuttle filament extending therefrom;
pulling the shuttle filament, and thus the flexible filament body, the suture filament, and the graft, through a bone tunnel until the flexible filament body is pulled out of the tunnel while at least a portion of the suture filament and the graft remain in the tunnel; and
collapsing the flexible filament body to draw terminal ends of the body that define a length of the body closer together and place the flexible filament body in an anchored configuration in which the flexible filament body is disposed on one side of the bone tunnel and the graft is disposed on an opposite side of the bone tunnel.
2. The method of claim 1 , wherein collapsing the flexible filament body further comprises applying tension to the one or more coils in a direction away from the flexible filament body to cause the flexible filament body to collapse.
3. The method of claim 1 , wherein the suture filament has a slidable portion formed therefrom and a tensioning tail extends from the slidable portion, the method further comprising:
applying tension to the tensioning tail to adjust a circumference of one or more coils of the suture filament.
4. The method of claim 1 , wherein when the flexible filament body is pulled out of the tunnel, at least one of an audible sound and tactile feedback is generated by a feedback unit associated with the flexible filament body to notify a user that the flexible filament body has passed through the tunnel.
5. The method of claim 4 , wherein the feedback unit is disposed in a portion of the flexible filament body.
6. The method of claim 4 , wherein the feedback unit is coupled to a terminal end of the flexible filament body.