Reinforced biological construct and method of reinforcing biological construct
A reinforced graft construct for repairing a tendon or ligament formed by inserting a piece of material, such as suture, through the graft lengthwise. The material may be inserted along only a portion of the graft or along the entire graft. The material may be a reinforcement (reinforcing) material such as suture, tape, weave, or mesh passed lengthwise through the graft (for example, along the center of the graft). The ends of the graft may be whipstiched to provide additional fixation when implanted. The material may be bioabsorbable such that it will resorb away after a period of time in the body.
1. A method of reinforcing a biological construct, comprising:
inserting a reinforcement material longitudinally through a biological construct such that the reinforcement material enters the biological construct at a first location and exits the biological construct at a second location that is longitudinally spaced from the first location, wherein the biological construct is at least one of a tendon or a ligament and the reinforcement material is one of a suture, a tape, a weave, a mesh, or combinations of a suture, a tape, a weave, and a mesh; and
stitching together portions of the biological construct containing the reinforcement material to form a reinforced biological construct, wherein the stitching is performed using a flexible strand that is separate from the reinforcement material.
2. The method of claim 1 , wherein the step of passing a reinforcement material longitudinally through at least a portion of the biological construct comprises:
inserting a first reinforcement material through each of a first end and a second end of a torn tendon or ligament, in a direction parallel to each of the torn edges of the torn tendon or ligament, and spaced apart from a most distal end of each of the edges of the torn tendon or ligament;
subsequently, inserting a second reinforcement material through each of the first end and second end of a torn tendon or ligament, and through the first reinforcement material; and
stitching back together the first and second ends to form a reconstructed torn tendon or ligament.
3. The method of claim 2 , wherein at least one of the first and second reinforcement material is a suture material or suture tape.
4. The method of claim 2 , wherein the first reinforcement material is a suture tape and the second reinforcement material is a suture strand.
5. The method of claim 2 , wherein the method is conducted in situ.
6. The method of claim 1 , further comprising the step of:
attaching at least one fixation device to the reinforced biological construct.
7. The method of claim 1 , wherein the stitching together is a first end and a second end of the reinforced biological construct stitched together to form a reinforced looped biological construct.
8. The method of claim 1 , wherein stitching together the portions of the biological construct includes passing a suture through both the biological construct and the reinforcement material.
9. The method of claim 8 , comprising using a needle to pass the suture.
10. The method of claim 1 , wherein the first location is within a first end of the biological construct and the second location is within a second end of the biological construct.
11. The method of claim 1 , wherein inserting the reinforcement material includes pulling the reinforcement material through the biological construct using a passing wire.
12. The method of claim 1 , comprising securing the biological construct within a prep-station prior to inserting the reinforcement material.
13. The method of claim 1 , comprising:
inserting a fixation device onto the reinforced biological construct;
doubling the reinforced biological construct over so a first end and a second end of the reinforced biological construct overlap one another; and
stitching the first end and the second end together to create a reinforced looped biological construct.
14. The method of claim 13 , comprising pretensioning the reinforced looped biological construct prior to using the reinforced looped biological construct in a tissue repair procedure.
15. The method of claim 1 , wherein stitching together the portions of the biological construct includes whipstitching the biological construct.
16. The method of claim 15 , comprising completing the whipstitching by forming a knot to create a stitched looped region.
17. The method of claim 1 , wherein stitching together the portions of the biological construct includes:
overlapping a first end and a second end of the biological construct; and
stitching the first end and the second end together using a needle and a suture.
18. A method of reinforcing a biological construct, comprising:
inserting a passing wire through the biological construct, wherein the biological construct is at least one of a tendon or a ligament;
connecting a reinforcement material to the passing wire;
pulling the reinforcement material through the biological construct using the passing wire such that the reinforcement material enters and exits the biological construct at longitudinally spaced locations; and
stitching together portions of the biological construct containing the reinforcement material using a flexible strand that is separate from the reinforcement material.
19. A method of reinforcing a biological construct, comprising:
inserting a reinforcement material longitudinally through the biological construct to create a reinforced biological construct, the reinforcement material entering the biological construct within a first end portion and exiting the biological construct within a second end portion, wherein the biological construct is at least one of a tendon or a ligament;
folding the reinforced biological construct over so the first end portion and the second end portion overlap; and
stitching the first end portion and the second end portion together to create a reinforced looped biological construct.