Fixation member with separate eyelet and methods of use thereof
In one embodiment of the present disclosure, an implant system for securing tissue to bone, including a first fixation member releasably engaged to a first inserter, the first fixation member having a throughbore adapted to accept a filament therethrough and a cannulation extending from a proximal end of the first fixation member to a distal end of the first fixation member, the first inserter positioned through the cannulation and having a distal tip extending distally beyond the distal end of the first fixation member, and a second fixation member releasably engaged to a second inserter different from the first inserter, the second fixation member having a size capable of being positioned within the bonehole.
1 . A method of securing tissue to a bone, the method comprising:
inserting a first fixation member into a bone along a first axis, the first fixation member including a tissue engaging feature and a suture associated therewith, wherein the tissue engaging feature is structured to extend from a proximal end of the first fixation member in a lateral direction relative to a primary axis of the first fixation member;
pulling the suture such that the tissue engaging feature of the first fixation member engages the bone and changes an orientation of the first fixation member, while the first fixation member is within the bone, to extend along a second axis different from the first axis; and
inserting a second fixation member into the bone along the first axis.
2 . The method of claim 1 , wherein inserting the first fixation member into the bone along the first axis includes punching the first fixation member into the bone.
3 . The method of claim 1 , wherein pulling the suture is carried out such that the second axis is perpendicular to the first axis.
4 . The method of claim 1 , wherein pulling the suture comprises engaging a sidewall of a lateral bore of the first fixation member.
5 . The method of claim 1 , wherein inserting the second fixation member includes inserting the second fixation member in a bone hole formed by the insertion of the first fixation member.
6 . The method of claim 5 , wherein inserting the second fixation member into the bone includes rotating the second fixation member such that external threads of the second fixation member engage the bone.
7 . The method of claim 1 , wherein inserting the first fixation member into the bone includes inserting the first fixation member with a first inserter.
8 . The method of claim 7 , wherein inserting the second fixation member into the bone includes inserting the second fixation member with a second inserter different from the first inserter.
9 . The method of claim 8 , further comprising tensioning the suture in a cleat of the second inserter.
10 . The method of claim 8 , further comprising rotating a knob disposed on the second inserter to thread the second fixation member into the bone.
11 . The method of claim 7 , wherein inserting the first fixation member into the bone includes contacting the first inserter with a shoulder of the first fixation member.
12 . The method of claim 1 , wherein pulling the suture causes the first fixation member to move proximally.
13 . The method of claim 12 , wherein pulling the suture further causes the first fixation member to rotate relative to the bone.
14 . The method of claim 1 , wherein inserting the second fixation member into the bone includes driving the second fixation member into the bone and at least partially into a recess formed by the first fixation member.
15 . The method of claim 11 , further comprising imparting a force on the first fixation member through a gap formed between the shoulder and a proximal surface of the first fixation member.