Tissue fixation device
Devices and methods for fixating a graft tendon in a bone tunnel for a ligament reconstruction or repair procedure are provided. In general, the described implantable tissue fixation device includes first and second elongate, substantially rigid support members that are discrete elements separated from each other, and at least one flexible member connecting the rigid support members. The tissue fixation device can have changeable dimensions such that it has at least one dimension that is smaller in a delivery configuration than in a deployed configuration. In both delivery and deployed configurations, the first and second rigid support members are positioned in a non-intersecting orientation with respect to one another. A graft retention loop coupled to the tissue fixation device has the graft tendon coupled thereto and extending into the bone tunnel so as affix the graft into the bone.
1. A method for fixating a graft ligament into a bone tunnel, the method comprising:
forming a graft construct by coupling the graft ligament to a tissue fixation device via a graft retention loop of the tissue fixation device, the tissue fixation device comprising first and at least one second elongate, substantially rigid support members that are discrete elements separated from each other and at least one flexible member connecting the rigid support members;
passing the graft construct through the bone tunnel with the tissue fixation device in a delivery configuration such that the rigid support members are in a non-intersecting orientation relative to one another and are disposed a first distance away from one another; and
after the graft construct is passed up through the bone tunnel and is disposed over an opening in the bone tunnel, positioning the tissue fixation device over the opening in a deployed configuration such that the rigid support members are disposed a second distance away from one another that is greater than the first distance, and the graft retention loop and the graft ligament extend into the bone tunnel.
2. The method of claim 1 , wherein the at least one flexible member comprises fabric.
3. The method of claim 1 , wherein the at least one flexible member comprises a plurality of elongate connecting filaments extending between the rigid support members.
4. The method of claim 3 , wherein the plurality of elongate connecting filaments are formed from a same component.
5. The method of of claim 3 , wherein the plurality of elongate connecting filaments comprise suture or metal wire.
6. The method of of claim 3 , wherein the rigid support members each include a plurality of retaining elements used to couple the plurality of elongate connecting filaments to the rigid support members.
7. The method of claim 6 , wherein the plurality of retaining elements comprise longitudinally spaced openings formed in the rigid support members.
8. The method of claim 1 , wherein the graft retention loop is coupled to the at least one flexible member and disposed around the rigid support members.
9. The method of claim 1 , wherein the tissue fixation device further comprises:
at least one suture removably coupled to an end of the at least one flexible member.