Implant placement systems, devices, and methods
Described herein is a simplified placement system and method for a tissue graft anchor by which a surgeon may introduce one or more sutures into a hole in a boney tissue, apply tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone while maintaining suture tension and without introducing spin to the suture.
1. An implant placement system for affixing a soft tissue graft to a prepared socket in a boney surface via a rigid implant, said system comprising:
a. a cannulated, single-lumened driver device comprising a proximal handle portion and an elongate tubular distal portion that defines the longitudinal axis of the system, wherein said driver device has a distal end configured to receive said rigid implant and to transmit torque thereto, wherein said driver device further includes a flexible, torque-transmitting portion proximal to said distal portion; and
b. a cannulated, single-lumened insertion device rotatably received within said single lumen of said driver device, said insertion device comprising a proximal hub portion having a proximal opening and an elongate tubular distal portion having a distal opening that is configured to receive first ends of one or more elongate sutures, whereby said one or more elongate sutures may be threaded through the single lumen of said insertion device and out said proximal opening,
wherein, when said insertion device is rotatably positioned within said single lumen of said driver device, the distal portion of said insertion device is angularly offset from the longitudinal axis of said system such that said torque transmitting portion of said driver device is angularly offset from said system longitudinal axis.
2. The implant placement system of claim 1 , wherein said distal portion of said insertion device includes a section in which the flexular yield strength is locally reduced.
3. The system of claim 2 , wherein the locally reduced flexular yield strength of said section is due to the presence of one or more notches therein.
4. The system of claim 2 , wherein the locally reduced flexular yield strength of said section is due to annealing of metallic material in said section.
5. The system of claim 1 , wherein said system further comprises said rigid implant.
6. The system of claim 5 , wherein said system includes comprises one or more elongate sutures.
7. The system of claim 6 , wherein said sutures are preloaded into said rigid implant.
8. The system of claim 1 , wherein said system includes one or more elongate sutures.