System and method for creating graft tunnels in bone
Methods and devices for consistently and accurately controlling the depth of the graft tunnel. A sheath is inserted into the bone until a stop member on the sheath contacts the bone. A cutting member is then deployed to drill a larger bore in the tunnel until making contact with the distal end of the sheath. The cutting member may be drawn retrograde within the tunnel, or driven antegrade from an opening opposite the opening in which the sheath resides. The drill and the sheath can then be removed, leaving the tunnel that includes a tunnel portion sized to fit a graft so that the graft fits tightly within the tunnel portion and is flush with the opening of the tunnel.
1. A method for drilling a tunnel through tissue, the method comprising:
forming, with a shaft having a distal end and a proximal end, a tunnel in a tissue;
providing a plurality of sheaths, each sheath of the plurality of sheaths having a proximal end and a distal end, each sheath of the plurality of sheaths including a stop member extending radially from a surface of the sheath, each sheath of the plurality of sheaths having a different distance from the distal end to the stop member;
determining a desired position of the distal end of the sheath in the tunnel;
selecting a sheath from the plurality of sheaths based on the desired position; and
sliding the selected sheath over the shaft in the tunnel until the stop member contacts the tissue.
2. The method of claim 1 , further comprising drilling, using a cutting member, a second tunnel until the cutting member contacts the selected sheath.
3. The method of claim 2 , wherein drilling, using the cutting member, comprises drilling in a retrograde manner.
4. The method of claim 2 , further comprising selecting the sheath such that a distance between the stop member and the distal end of the selected sheath is approximately equal to a length of the second tunnel subtracted from a length of the tunnel.
5. The method of claim 2 , further comprising deploying the cutting member from the shaft.
6. The method of claim 2 , wherein the second tunnel has a greater diameter than the tunnel.
7. The method of claim 1 , wherein the stop member extends around an entire circumference of each of the plurality of sheaths.
8. The method of claim 1 , further comprising disposing of the selected sheath of the plurality of sheaths.
9. The method of claim 1 , further comprising cutting the selected sheath to a desired length.
10. The method of claim 1 , wherein sliding the selected sheath over the shaft in the tunnel until the stop member contacts the tissue comprises sliding the selected sheath over the shaft in the tunnel until the stop member contacts a cortex of bone.
11. A method for drilling a tunnel through tissue, the method comprising:
forming, with a shaft having a distal end and a proximal end, a first tunnel in a tissue;
providing a plurality of sheaths, each sheath of the plurality of sheaths having a proximal end and a distal end, each sheath of the plurality of sheaths having a different distance from the distal end to the proximal end;
determining a desired position of the distal end of the sheath in the first tunnel;
selecting a sheath from the plurality of sheaths based on the desired position;
sliding the selected sheath over the shaft in the tunnel; and
drilling, using a cutting member, a second tunnel until the cutting member contacts the selected sheath.
12. The method of claim 11 , wherein each sheath of the plurality of sheaths comprises a stop member extending radially from a surface of the sheath, and wherein sliding the selected sheath over the shaft in the first tunnel comprises sliding the selected sheath over the shaft until the stop member contacts the tissue.
13. The method of claim 12 , wherein the stop member extends around an entire circumference of each of the plurality of sheaths.
14. The method of claim 12 , further comprising selecting the sheath such that a distance between the stop member and the distal end of the selected sheath is approximately equal to a length of the second tunnel subtracted from a length of the first tunnel.
15. The method of claim 12 , wherein sliding the selected sheath over the shaft in the tunnel until the stop member contacts the tissue comprises sliding the selected sheath over the shaft in the first tunnel until the stop member contacts a cortex of bone.
16. The method of claim 11 , wherein drilling, using the cutting member, comprises drilling in a retrograde manner.
17. The method of claim 11 , further comprising disposing of the selected sheath of the plurality of sheaths.
18. The method of claim 11 , further comprising cutting the selected sheath to a desired length.
19. The method of claim 11 , further comprising deploying the cutting member from the shaft.
20. The method of claim 11 , wherein the second tunnel has a greater diameter than the first tunnel.