Surgical fastening
A surgical device includes a first fastener having a planar profile, a second fastener having a concave surface, and a suture that can be manipulated to change a distance between the first and second fasteners. The second fastener has a curvature that substantially matches the curvature of a top surface of a clavicle bone in a direction perpendicular to a long axis of the clavicle bone. A method of treating an acromioclavicular joint injury includes forming axially aligned passages through a patient's clavicle and coracoid process, passing a fastener having a concave surface through the passages, positioning the concave surface of the fastener against a top surface of the patient's clavicle with a long axis of the fastener extending perpendicular to a long axis of the clavicle, positioning a fastener having a planar profile below the patient's coracoid process, and adjusting a suture that couples the fasteners.
1. A surgical fastening device, comprising:
first fastener having a planar profile, the first fastener comprising:
an elongated, first body having a first end, a second end, and a longitudinal axis extending therebetween; and
two holes extending through the first body transverse to the longitudinal axis, the two holes being linearly aligned along a center line extending from the first end to the second end;
a second fastener having a curved profile, the second fastener comprising:
an elongated, second body having a first end, a second end, and a longitudinal axis extending therebetween;
two holes extending through the second body transverse to the longitudinal axis, the two holes being linearly aligned along a center line extending from the first end to the second end; and
a first concave surface and a second convex surface, a curvature of the first and second surfaces extending along the longitudinal axis from the first end to the second end; and
a first suture having two free ends coupled to the two holes of the first and second bodies such that the suture is able to be manipulated to change a distance between the first and second fasteners when the free ends of the suture are pulled;
wherein the first body includes a third hole adjacent the first end for receiving a second suture therethrough; and
wherein a first surface of the first body includes a first groove extending between the third hole and the first end for receiving the second suture.
2. The surgical fastening device of claim 1 , wherein the first and second fasteners are made of titanium.
3. The surgical fastening device of claim 1 wherein a length, width, and thickness of the first and second fasteners are the same.
4. The surgical fastening device of claim 1 , wherein the first body includes a fourth hole adjacent the second end for receiving a third suture therethrough.
5. The surgical fastening device of claim 4 , wherein the first surface of the first body includes a second groove extending between the fourth hole and the second end for receiving the third suture.
6. The surgical fastening device of claim 1 , wherein the free ends of the first suture are tied in a half-hitch knot.
7. The surgical fastening device of claim 6 , wherein the half-hitch knot is located against a first surface of the first body, the first surface corresponding to an outer surface of the surgical fastening device.
8. The surgical fastening device of claim 1 , wherein the first body is generally rectangular in shape.
9. The surgical fastening device of claim 1 , wherein the second body is generally rectangular in shape.
10. The surgical fastening device of claim 1 , wherein both of the first and second bodies are generally rectangular in shape.
11. The surgical fastening device of claim 1 , wherein a curvature of the first concave surface of the second body substantially matches a curvature of a top surface of a bone in a direction perpendicular to a long axis of the bone.
12. The surgical fastening device of claim 11 , wherein the bone is a human clavicle.