Acetabular fixation system and method
Improved methods, devices, systems and models for facilitating supplemental fixation of implant components to surrounding anatomical features, including supplemental fixation of acetabular components to the acetabulum.
1. A method of securing an acetabular cup in a desired alignment to a patient's acetabular bone, comprising:
inserting an acetabular component into a first drill hole that has been made in the patient's acetabular bone;
accessing the patient's acetabular bone through an opening in the acetabular cup and drilling a second drill hole into the patient's acetabular bone;
inserting an anchoring device through the opening in the acetabular cup and into the second drill hole, the anchoring device including a deployable anchoring element positioned within a lumen of the anchoring device, the deployable anchoring element including an attached flexible anchoring structure;
deploying the deployable anchoring element out of the lumen to anchor the deployable anchoring element to the patient's acetabular bone by advancing the deployable anchoring element out through a distal end of the lumen and manipulating the attached flexible anchoring structure to reorient the deployable anchoring element such that the deployable anchoring element presents an enlarged cross-sectional area to the second drill hole, at least a portion of the attached flexible anchoring structure extending through the second drill hole and through at least a portion of the lumen of the anchoring device;
tensioning the attached flexible anchoring structure, and
connecting at least a portion of the attached flexible anchoring structure to the anchoring device.
2. The method of claim 1 , wherein the anchoring device comprises a dome screw having a head and a shaft, and the head of the dome screw includes an outer diameter that is larger than an outer diameter of the shaft.
3. The method of claim 2 wherein the shaft includes a first longitudinal length, and the head includes a second longitudinal length, and the first longitudinal length is greater than the second longitudinal length.
4. The method of claim 2 , wherein the opening in the acetabular cup has a bore depth, and a longitudinal length of the dome screw is greater than the bore depth.
5. The method of claim 2 , wherein the attached flexible anchoring structure comprises a first suture, a second suture and a third suture.
6. The method of claim 5 , wherein the first suture includes an alignment indicator.
7. The method of claim 2 , wherein the dome screw further comprises a locking mechanism for securing the attached flexible structure to the dome screw.
8. The method of claim 1 , wherein the anchoring device includes a proximal end and a distal end, and the deployable anchoring element is positioned within the lumen of the anchoring device adjacent the proximal end.
9. The method of claim 5 , wherein the attached flexible anchoring structure includes an alignment indicator that reflects an alignment of the deployable anchoring element.
10. The method of claim 1 , wherein the step of tensioning the attached flexible anchoring structure comprising tensioning the attached flexible anchoring structure using a mechanical advantage system.
11. The method of claim 1 , wherein the opening in the acetabular cup is located at an apex of the acetabular cup.
12. The method of claim 2 , wherein an exterior surface of the dome screw is threaded.
13. The method of claim 1 , wherein an inwardly facing surface of the lumen is threaded.
14. The method of claim 2 , wherein an upper surface of the dome screw includes an indentation for engaging a corresponding element of a driving tool.
15. The method of claim 1 , wherein an exterior surface of the anchoring device is threaded.
16. The method of claim 1 , wherein at least a portion of an outer surface of the acetabular cup comprises a porous material.
17. The method of claim 2 , wherein the deployable anchoring element comprises an absorbable material.