Method for knotless fixation of tissue with swivel anchor
A fenestrated suture anchor for fixation of tissue to bone. In a preferred embodiment, the suture includes an implant, such a swivel implant with a forked tip for capturing suture. The implant is secured in a hole in bone by advancing a fixation device, such as a cannulated interference screw, to engage and fully seat the implant. The cannulated fixation device is provided with a plurality of openings or fenestrations of various dimensions and geometries to provide multiple pathways through the anchor (i.e., though the interior of the body and through the fenestrations) to allow blood to flow to increase the healing zone, for example, for rotator cuff repair, while also promoting bone in-growth.
1. A method of tissue fixation, comprising:
securing a first portion of a suture to a tissue to be fixated;
and
anchoring a second portion of the suture into a bone socket using a swivel implant, a separate cannulated fixation device having a threaded body, and a swivel connection between the threaded body and the swivel implant, the swivel implant being attached onto a tip of a driver assembly, the driver assembly comprising a cannulated driver with a shaft, an inserter handle and a tube that passes slidably and rotatably through the cannulated driver, the tube having a tip that accepts the swivel implant, the swivel implant being engaged with the tip of the tube, the tube further having an outer surface for receiving the cannulated fixation device, the driver assembly being pre-loaded with the cannulated fixation device, the swivel implant swivels relative to the cannulated fixation device, the swivel implant comprising a tip and an anchor body, wherein the tip of the swivel implant is configured to capture the suture attached to the tissue, wherein the suture is anchored into the bone socket by the steps of:
capturing the suture attached to the tissue with the swivel implant;
inserting the swivel implant with the captured suture into the bone socket; and
advancing the cannulated fixation device using the driver assembly into the bone socket so that the cannulated fixation device engages the bone socket without excessive twisting of the suture, thereby securing the suture and providing tissue fixation without tying any knots in the suture.
2. The method as recited in claim 1 , wherein the suture comprises a plurality of suture loops and the swivel implant comprises a forked tip for capturing the suture.