Tissue fixation system with auxiliary plate
A tissue fixation system provides a primary fixation plate with a depending graft retention loop and a longer auxiliary fixation plate which fits to the primary fixation plate via upwardly projecting pegs which fit into suture holes in the primary fixation plate. The system has particular utility in cortical fixation procedures in which a graft channel is over-drilled and a longer fixation plate is indicated.
1. A tissue fixation device comprising:
a first fixation plate comprising an elongated body having a first end and a second end with a length therebetween, a first suture aperture at the first end, and a central graft support loop depending therefrom;
a second fixation plate receiving the first fixation plate and comprising an upper surface having a first peg projecting upwardly therefrom through the first suture aperture of the first fixation plate, a first suture projecting through the first suture aperture of the first fixation plate, and wherein the second fixation plate has a length exceeding the length between the first end and the second end of the first fixation plate; and
wherein the first fixation plate further comprises a second suture aperture and wherein the second fixation plate further comprises a second peg projecting upwardly therefrom through the second suture aperture of the first plate, and a second suture projecting through the second suture aperture of the first fixation plate.
2. A tissue fixation device according to claim 1 wherein the length of the second fixation plate exceeds the length of the first fixation plate by at least 15 percent.
3. A tissue fixation device according to claim 1 wherein the length of the second fixation plate exceeds the length of the first fixation plate by at least 65 percent.
4. A tissue fixation device according to claim 1 wherein the second fixation plate further comprises a first suture receiving aperture with a first suture therethrough and a second suture receiving aperture with a second suture therethrough.
5. A tissue fixation device according to claim 1 wherein the second fixation plate has a lower surface opposite its upper surface and wherein the graft support loop depends below the second fixation plate lower surface.
6. A tissue fixation device according to claim 1 wherein the first peg fits closely within the first suture aperture of the first fixation plate.
7. A tissue fixation device according to claim 1 wherein the first peg fits with a compression fit within the first suture aperture of the first fixation plate whereby to hold together the first fixation plate and the second fixation plate.
8. A tissue fixation device according to claim 1 wherein the first fixation plate and second fixation plate interlock with each other.
9. A tissue fixation device according to claim 8 wherein the interlocking comprises a snap-fit engagement between the first fixation plate and the second fixation plate.
10. A tissue fixation device according to claim 1 wherein the second fixation plate further comprises a side opening slot through which depends the graft support loop.
11. A tissue fixation device according to claim 1 wherein the second fixation plate further comprises a pair of side opening slots with a separator in-between, the separator passing through the graft support loop laterally and the graft support loop depending downwardly through the side opening slots.
12. A tissue fixation device according to claim 1 wherein the second fixation plate has an elongated central aperture therethrough sized and positioned to allow the central graft support loop to depend therethrough and further sized to allow the first fixation plate to pass therethrough whereby to allow the mating of the first fixation plate to the second fixation plate with the central graft support loop depending through the elongated central aperture of the second fixation plate, and the mating to be effected after a graft is already attached to the graft support loop.