Systems and methods for preparing reinforced graft constructs
Systems and methods for preparing a tissue repair construct for a ligament reconstruction procedure using a reinforced whip-stitching are provided. The described techniques include passing a needle having suture tails attached thereto through a first surface of a graft at an origin point so that a portion of the suture tails exits on a second, opposite surface of the graft while a terminal length of the suture tails is maintained on the first surface of the graft. Multiple suture loops are formed by repeatedly passing the needle with the suture tails around opposite sides of the graft and through the first surface of the graft at subsequent entry points spaced apart along a length of the graft. Each loop is formed so that the construct is reinforced by having a terminal length of each of the suture tails disposed between the first surface of the graft and the loop.
1. A tissue repair construct, comprising:
a graft having first and second ends; and
a suture affixed to the graft and extending along a portion of a length of the graft from an origin point remote from the first end of the graft, the suture having a pattern comprising multiple loops of suture spaced apart along the length of the graft and extending from the origin point to a terminal point adjacent to the first end of the graft, each loop overlaying a portion of a terminal length of each of two suture tails of the suture such that at least a portion of the terminal length of each suture tail is disposed between a first surface of the graft and the loop, the terminal lengths of each of the two suture tails comprising a first terminal end and a second terminal end of the suture respectively, the second terminal end opposite the first terminal end, the suture comprising an intermediate portion disposed between the terminal lengths of each of the two suture tails, the intermediate portion configured to be coupled to a needle, the suture being continuous and uniform from the first terminal end to the second terminal end,
wherein each loop is defined by adjacent portions of the suture passing through the first surface of the graft at one entry point to a second surface of the graft, each of the adjacent portions of the suture passing around opposite sides of the graft to another entry point spaced longitudinally from the origin point, and wherein the entry points are between the terminal lengths of the two suture tails.
2. The tissue repair construct of claim 1 , wherein a number of the multiple loops ranges from three to eight.
3. The tissue repair construct of claim 1 , further comprising:
a second suture affixed to the graft and extending along a portion of a length of the graft from a second origin point remote from the second end of the graft, the second suture having a pattern comprising second multiple loops of suture spaced apart along the length of the graft and extending from the second origin point to a second terminal point adjacent to the second end of the graft, each loop overlaying a second terminal length of each of two second suture tails of the second suture such that the second terminal length of each suture tail is disposed between the first surface of the graft and the loop,
wherein each of the second loops is defined by adjacent portions of the second suture passing through the first surface of the graft at one entry point to the second surface of the graft, each of the adjacent portions of the second suture passing around opposite sides of the graft to another entry point spaced longitudinally from the second origin point.
4. The tissue repair construct of claim 1 , wherein a length of the suture tails is approximately equal to a length of a portion of the graft between the first entry point and the first end of the graft.
5. The tissue repair construct of claim 1 , wherein the suture tails extend beyond the first end of the graft.
6. The tissue repair construct of claim 1 , wherein the suture comprises a continuous, uninterrupted suture.