Load-sharing rip-stop double row repairs
View Patent ↗A load sharing rip-stop construct and technique for soft tissue repair, particularly rotator cuff repair. A suture tape is inserted through the soft tissue (rotator cuff) at a first location. At least one suture anchor is inserted into bone, adjacent the soft tissue, the anchor being loaded with at least one length of an suture with two ends. The ends of the suture are passed through the soft tissue at a second location which is medial to the first location, and secured in bone at the second location with an anchor. The suture tape is then passed over the soft tissue and secured into the bone at a third location which is lateral to the first and second locations. The suture tape acts as a “rip-stop,” not only providing resistance to tissue cutout for the suture, but also enhancing load distribution.
1. A method of attaching soft tissue to bone, comprising the steps of:
passing at least one suture tape with two limbs through soft tissue at two different locations;
providing a lateral row constructed with two suture-loaded anchors, each of the suture-loaded anchors comprising four suture ends attached thereto, each of the two suture-loaded anchors being secured into bone;
passing two suture ends from each of the two suture-loaded anchors through the soft tissue medially to the two different locations of the suture tape;
providing a medial row constructed with two knotless fixation devices;
capturing each limb of the at least one suture tape with a separate knotless fixation device of the medial row; and
subsequently, tying at least two static knots with the four suture ends from the suture-loaded anchors.
2. The method of claim 1 , further comprising the steps of:
providing two suture tape limbs of the at least one suture tape through soft tissue at two or more different locations;
providing a lateral row constructed with one or more suture-loaded anchors, each of the suture-loaded anchors comprising four suture ends attached thereto, each of the two suture-loaded anchors being secured into bone;
passing two suture ends from each of the two suture-loaded anchors through the soft tissue medially to the different locations of the suture tape;
providing a medial row constructed with one or more knotless fixation devices;
capturing both suture tape limbs of the at least one suture tape with a separate knotless fixation device of the lateral row so that the limbs of the suture tapes encircle each of the two suture-loaded anchors; and
subsequently, tying two static knots with the four suture ends from the suture-loaded anchors.
3. The method of claim 2 wherein the bone is a greater tuberosity bone bed.
4. The method of claim 1 , wherein at least one of the knotless fixation devices is a swivel anchor with an anchor body and an anchor tip rotatably attached to the anchor body, wherein the anchor body is configured to be inserted over the anchor tip for securing the anchor body and the limb of the at least one suture tape into bone.
5. The method of claim 1 , wherein the knotless fixation devices are push-in type anchors, screw-in anchors or swivel anchors.
6. The method of claim 1 , wherein the soft tissue is a rotator cuff tissue.