System and method for securing tissue to bone
Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A tissue anchoring device is described that comprises an anchor body and a spreader such that tissue may be captured or compressed between outside surfaces on the anchor and inside surfaces of a bone tunnel to secure the tissue within the tunnel. Methods are described that enable use of the bone anchoring device to secure a tissue graft into the tibial and femoral bones during anterior cruciate ligament (“ACL”) reconstruction.
1. An expandable bone anchor, comprising:
an anchor body extending along a longitudinal axis comprising:
a distal tapered anchor tip; and
a plurality of rigid side portions, each of which includes a free proximal end and a distal end and extending proximally from the anchor tip, each side portion coupled to the anchor tip through a double hinge;
a spreader configured to advance distally into the anchor body, thereby causing the rigid side portions to expand outward, wherein the spreader is directly coupled to the side portions, and
wherein each side portion is configured to expand to a greater extent at the respective free proximal end as compared to the respective distal end.
2. The anchor of claim 1 , wherein the spreader is slidably coupled to the side portions.
3. The anchor of claim 2 , wherein the spreader comprises a plurality of longitudinal tracks and each side portion is coupled to one of the tracks such that the side portions can slide longitudinally along the tracks.
4. The anchor of claim 1 , wherein the spreader comprises at least a portion that is tapered distally.
5. The anchor of claim 1 , wherein the anchor tip comprises a proximal locking member and the spreader comprises a distal locking member, wherein the two locking members are configured to lock together upon maximal distal advancement of the spreader.
6. The anchor of claim 5 , wherein the proximal locking member on the anchor tip comprises a post having an outwardly protruding ridge and the distal locking member on the spreader comprises a hollow cylinder configured to receive the post.
7. The anchor of claim 6 , wherein the hollow cylinder comprises a groove on an inside surface configured to receive the protruding ridge.
8. The anchor of claim 6 , wherein the hollow cylinder comprises expandable tabs.
9. The anchor of claim 1 , wherein upon maximal expansion, the rigid side portions are expanded to a uniform extent away from the longitudinal axis along their length with respect to each other.