Self-cinching suture anchors, systems, and methods
Various self-cinching suture anchors, self-cinching suture anchor systems, and methods of use are provided. In one exemplary embodiment, a suture anchor is provided that includes an outer member and an inner member configured to be received within the outer member. The inner and outer members can define a gap that allows a suture to be movably disposed within the outer member, e.g., within the gap, when the inner member is disposed within the outer member. The inner member can be configured to be secured within the outer member by a knot of the suture having a diameter greater than a width of the gap so as to fix the inner member within the outer member, while still allowing uni-directional tensioning of the suture.
1. A suture anchor, comprising:
a cannulated outer member having an inner lumen extending therethrough between proximal and distal ends thereof, the outer member having at least one bone-engaging surface feature formed on an outer surface thereof and configured to engage bone, and the outer member having a suture receiving member extending transversely across an entire diameter of the inner lumen adjacent to the distal end, the suture receiving member being configured to receive a suture therearound; and
an inner member configured to be received within the inner lumen of the outer member, the inner member having a maximum outer diameter that is less than a minimum inner diameter of the inner lumen of the outer member, and the inner member having a length extending between proximal and distal ends thereof that is not greater than a length of the outer member extending between the proximal and distal ends of the outer member;
wherein when the inner member is fully disposed within the inner lumen of the outer member such that the distal end of the inner member abuts a proximal end of the suture receiving member and the proximal end of the inner member is flush with the proximal end of the outer member, a suture extending between the inner and outer members and around the suture receiving member is configured to be freely slidable relative to the inner and outer members.
2. The suture anchor of claim 1 , wherein the inner member has a central lumen extending therethrough between proximal and distal ends thereof, the central lumen being configured to have the suture extend therethrough.
3. The suture anchor of claim 1 , wherein at least one of the inner member and the outer member has at least one groove extending along a surface thereof between proximal and distal ends thereof, the groove being configured to seat the suture therein.
4. The suture anchor of claim 1 , wherein the suture receiving member comprises a cross-bar extending between opposed inner sidewalls of the outer member.
5. The suture anchor of claim 1 , wherein the suture is configured to be received in the inner lumen of the outer member such that when the inner member is fully disposed within the inner lumen of the outer member, the suture extends between the inner and outer members and around the suture receiving member and is freely slidable relative to the inner member and the outer member.
6. The suture anchor of claim 1 , wherein a maximum width of the inner lumen is greater than a maximum width of the inner member.
7. The suture anchor of claim 1 , wherein the suture receiving member is configured to prevent the inner member from being advanced into the inner lumen through the distal end of the outer member.
8. The suture anchor of claim 1 , wherein the inner member being fully disposed within the inner lumen of the outer member includes the inner member being advanced as distally far as possible within the inner lumen.
9. The suture anchor of claim 1 , wherein when the inner member is fully disposed within the inner lumen of the outer member, a space exists therebetween around a circumference of the inner member, the suture extending between the inner and outer members and around the suture receiving member being configured to be positioned within the space and be freely slidable therein relative to the inner and outer members.
10. The suture anchor of claim 1 , wherein the suture receiving member is configured to receive the suture looped therearound such that first and second terminal ends of the suture extend out of the proximal end of the outer member.
11. The suture anchor of claim 1 , wherein the inner lumen of the outer member has a first cross-sectional shape along a longitudinal length thereof and the inner member has a second cross-sectional shape along a longitudinal length thereof that is different from the first cross-sectional shape.
12. The suture anchor of claim 1 , wherein a cross-sectional shape of the inner lumen of the outer member and a cross-sectional shape of the inner member are the same along respective longitudinal lengths thereof.
13. A suture anchor system, comprising:
a cannulated outer member having an inner lumen extending therethrough between proximal and distal ends thereof, the outer member having a suture receiving member adjacent to the distal end and configured to couple a suture to the outer member; and
an inner member removably disposable within the inner lumen of the outer member, the inner member being configured to be introduced into the inner lumen through the proximal end of the outer member and advanced in a distal direction within the inner lumen toward the suture receiving member until a proximal end of the inner member is flush with the proximal end of the outer member and a distal end of the inner member abuts a surface of the suture receiving member, outer members defining a gap therebetween for slidably receiving a suture coupled to the suture receiving member;
wherein, when the inner member is disposed within the inner lumen of the outer member such that the proximal end of the inner member is flush with the proximal end of the outer member and the distal end of the inner member abuts the surface of the suture receiving member, and when a suture is coupled to the suture receiving member, extends between the inner and outer members, and has a knot formed therein and positioned adjacent to the proximal ends of the inner and outer members, the suture is freely slidable in only one direction within the gap relative to the inner and outer members.
14. The system of claim 13 , wherein the inner member is configured to be retained within the outer member by the knot when the suture is coupled to the inner and outer members.
15. The system of claim 13 , wherein the outer member has at least one bone-engaging surface feature formed on an outer surface thereof that is configured to engage bone.
16. The system of claim 13 , wherein the inner member has an outer diameter that is less than a diameter of the inner lumen in the outer member such that the gap is formed by a space between the inner and outer members.
17. The system of claim 13 , wherein the gap is formed by a groove formed in one of the inner and outer members.
18. The suture anchor of claim 13 , wherein when the suture is slid as far as possible in the only one direction within the gap, the inner member is configured to be retained within the outer member by the knot.
19. The suture anchor of claim 13 , wherein the suture is freely slidable in the only one direction within the gap relative to the inner and outer members until the knot engages the proximal ends of the inner and outer members.
20. The suture anchor of claim 13 , wherein the suture receiving member extends transversely across an entire diameter of the inner lumen.