Acromioclavicular joint repair system
A system is disclosed for repairing and reconstructing a joint which has been injured by trauma, and especially an acromioclavicular joint. Means are disclosed to strengthen the repair or reconstruction and to maintain alignment while the ligaments in the joint heal, thus allowing more aggressive rehabilitation. A new joint repair tool is disclosed which is inserted into two separated bones adjacent to their respective articular joint surfaces to connect the two bones and approximate the adjacent bearing articular joint surfaces while still allowing motion between the two bones. Instruments to perform the methods are also disclosed.
1. An instrument for repairing separated bones of a joint comprising
a first component which includes means for being affixed to a first bone of a separated joint at a location spaced apart from surfaces in the joint bearing against each other,
a second component which includes means for being affixed to a second bone of the separated joint at a location spaced apart from surfaces in the joint bearing against each other, and
a mobile component having a length which is adjustable to a predetermined distance joined to and flexibly connecting the first and second components limiting independent movement between the first and second components and bones and allowing normal physiological motion of the bones and their joint surfaces.
2. An acromioclavicular joint injured by a separation of the clavicle and scapula comprising
a first component of an instrument for repairing the joint affixed in the scapula,
a second component of the instrument for repairing the joint having a length affixed in the clavicle, and
a mobile component of the instrument for repairing the joint having a length which is adjustable to a predetermined distance joined to and flexibly connecting the first component in the scapula to the second component affixed in the clavicle having a limited range of movement to restrict independent movement between the clavicle and the scapula and to allow normal physiological motion of the clavicle and scapula and their joint surfaces.
3. The instrument of claim 1 in which the first component and the second component are aligned for an aligned installation in the first and second bones.
4. The instrument of claim 1 in which the second component includes a stop member arranged to contact an outer surface of the second bone and limit the distance to which the second component extends into the second bone.
5. The instrument of claim 1 in which the means for the first component to be affixed in the first bone includes a threaded section.
6. The instrument of claim 1 in which the means for the components to be affixed in the bones is an adhesive.
7. The instrument of claim 1 in which the mobile component is at least one flexible wire.
8. The instrument of claim 1 in which the mobile component is at least one suture.
9. The instrument of claim 1 in which the first component and the second component each include a centrally disposed socket alignable with each other and having irregular inner surfaces for engagement by a driving tool.
10. The instrument of claim 9 in which the sockets in the first and second components are arranged in alignment with each other for simultaneous engagement by the driving tool.
11. The instrument of claim 9 in which the sockets in the first and second components are arranged in alignment with each other for simultaneous engagement by a single driving tool.