Adjustable suture-button construct for knotless stabilization of cranial cruciate deficient ligament stifle
An adjustable, knotless button/loop/needle construct for fixation of cranial cruciate ligament deficient stifle. The adjustable, knotless construct includes two fixation devices (for example, two buttons) and at least one flexible, adjustable loop attached to at least one of the fixation devices (e.g., the buttons). Preferably, a needle is attached to each of the fixation devices (e.g., the buttons). The adjustable, knotless construct has an adjustable loop length and allows adjustment in one direction while preventing or locking the construct from loosening in the opposite direction, due to applied tensile forces. The construct and technique of the present invention provides an improved knotless system for cruciate ligament repair.
1. A knotless fixation system for cranial cruciate ligament deficient stifle, comprising:
a first fixation device with a first configuration, and a second fixation device with a second configuration;
at least one adjustable, flexible continuous loop connected to the first and second fixation devices, the flexible, continuous loop having an adjustable length and two adjustable eyesplices that are interconnected;
a first needle attached to one of the first and second fixation devices; and
a second needle attached to the other of the first and second fixation devices.
2. The knotless fixation system of claim 1 , further comprising two flexible continuous loops, each of the flexible continuous loops being attached to one of the first and second fixation devices and further being interconnected to each other.
3. The knotless fixation system of claim 1 , wherein the first configuration is different from the second configuration.
4. The knotless fixation system of claim 1 , wherein each of the first and second fixation devices is an oblong button with an oblong body defining two eyelets.
5. The knotless fixation system of claim 4 , wherein a flexible strand is mounted in use between the two buttons so that the flexible strand is fed through each of the eyelets of the two buttons, to form the adjustable, flexible continuous loop construct.
6. The knotless fixation system of claim 1 , wherein the adjustable loop is formed of a high strength suture.
7. The knotless fixation system of claim 1 , wherein the adjustable loop is formed of a braided material.
8. The knotless fixation system of claim 1 , wherein the two adjustable eyesplices are formed of a high strength suture.
9. A cranial cruciate ligament repair apparatus, the apparatus comprising a kit of parts comprising:
first and second buttons, wherein each of the first and second buttons has first and second apertures;
a flexible coupling mounted, in use, between the first and second buttons, wherein the flexible coupling includes two closed, flexible, knotless loops, wherein the two closed, flexible, knotless loops are interconnected, and wherein at least one of the two closed, flexible, knotless loops is an adjustable, closed, flexible, knotless loop having an adjustable length and two adjustable eyesplices that are interconnected;
a first needle secured to the first button by a first suture, the first suture being looped through one of the first and second apertures of the first button; and
a second needle secured to the second button by a second suture, the second suture being looped through one of the first and second apertures of the second button.
10. The apparatus of claim 9 , wherein the first and second buttons are oblong buttons.
11. The apparatus of claim 9 , wherein the adjustable, closed, flexible, knotless loop is formed of a braided material.