Self-cinching suture anchors, systems, and methods
Various self-cinching suture anchors, self-cinching suture anchor systems, and methods of use are provided. In one exemplary embodiment, a suture anchor is provided that includes an outer member and an inner member configured to be received within the outer member. The inner and outer members can define a gap that allows a suture to be movably disposed within the outer member, e.g., within the gap, when the inner member is disposed within the outer member. The inner member can be configured to be secured within the outer member by a knot of the suture having a diameter greater than a width of the gap so as to fix the inner member within the outer member, while still allowing uni-directional tensioning of the suture.
1. A surgical method, comprising:
threading a suture coupled to a soft tissue through an inner lumen of a suture anchor, around a suture receiving member located in a distal end portion of the suture anchor, and back through the inner lumen, the suture having first and second terminal ends that extend out of a proximal end of the suture anchor;
implanting the suture anchor in a bone hole;
tensioning the first and second terminal ends of the suture to pull the suture around the suture receiving member and thereby pull the soft tissue toward the suture anchor; and
forming a first knot with the first and second terminal ends of the suture such that the first knot is positioned adjacent to the proximal end of the suture anchor and to a proximal end of a plug disposed within the inner lumen, the plug allowing free sliding movement of the suture within the inner lumen of the suture anchor, and the first knot having an outer diameter that prevents the first knot from passing between the suture anchor and the plug such that the first knot retains the plug within the suture anchor as tension is applied to the suture by the soft tissue.
2. The method of claim 1 , wherein a portion of the suture extends through a central lumen in the plug.
3. The method of claim 1 , further comprising inserting the plug into the inner lumen of the suture anchor to fully dispose the plug within the inner lumen of the suture anchor.
4. The method of claim 3 , wherein inserting the plug comprises sliding the plug along the suture and into the inner lumen of the suture anchor.
5. The method of claim 1 , further comprising, after forming the first knot, forming a second knot adjacent to the first knot.
6. The method of claim 1 , wherein the suture anchor comprises a second suture anchor, and the method further comprises prior to implanting the second suture anchor in the bone hole, implanting a first suture anchor in a first bone hole, the suture extending around a suture receiving member formed in a distal end portion of the first suture anchor, through an inner lumen of the first suture anchor, and through the soft tissue.
7. The method of claim 6 , further comprising forming a knot in the suture adjacent to the soft tissue to secure the soft tissue against the first suture anchor.
8. The method of claim 1 , wherein the suture is threaded through the inner lumen of the suture anchor before implanting the suture anchor in the bone hole.
9. The method of claim 1 , wherein the suture is threaded through the inner lumen of the suture anchor after implanting the suture anchor in the bone hole.