Apparatuses and method for fixation of ankle syndesmosis or acromioclavicular joint dislocations of the shoulder
An apparatus for performing ankle syndesmosis repairs includes, inter alia, a first button, a second button, and a suture connecting the first button and the second button. The first button and the second button are stainless steel buttons. At least one of the first button and the second button is oblong. The suture includes multiple strands that extend between the first button and the second button. A first free end of the suture is tensionable to shorten a length of the suture between the first button and the second button and thereby move the first button and the second button closer together.
1. A method of ankle syndesmosis repair, comprising:
drilling a hole through a fibula and a tibia with a drill bit;
pulling a first suture fixation device through the hole with a pull-through suture until the first suture fixation device exits at a medial side of the tibia;
flipping the first suture fixation device to a resting position relative to the tibia; and
positioning a second suture fixation device at a lateral side of the fibula,
wherein a flexible suture coupling is connected to the first suture fixation device and the second suture fixation device.
2. The method as recited in claim 1 , comprising reducing a fracture of the fibula prior to drilling the hole.
3. The method as recited in claim 1 , wherein pulling the first suture fixation device includes:
connecting the first suture fixation device to a suture passing instrument with the pull-through suture; and
inserting the suture passing instrument through the hole to advance the first suture fixation device horizontally through the hole.
4. The method as recited in claim 3 , wherein flipping the first suture fixation device includes:
applying traction to the pull-through suture while applying counter-traction to the flexible suture coupling until the first suture fixation device pivots from a position generally parallel to the hole to the resting position,
wherein, in the resting position, the first suture fixation device is generally transverse to the hole.
5. The method as recited in claim 1 , wherein the flexible suture coupling is double looped through the first suture fixation device and the second suture fixation device.
6. The method as recited in claim 1 , wherein positioning the second suture fixation device includes:
applying traction to a free end of the flexible suture coupling until the second suture fixation device is tightened down at the lateral side of the fibula.
7. The method as recited in claim 1 , wherein the first suture fixation device and the second suture fixation device each include at least one aperture.
8. The method as recited in claim 1 , wherein pulling the first suture fixation device includes:
passing an elongated pull-through device that is connected to the pull-through suture through the hole.
9. The method as recited in claim 1 , comprising reducing a syndesmosis disruption prior to performing the drilling, the pulling, the flipping and the positioning.
10. The method as recited in claim 1 , wherein the first suture fixation device includes an elongated shape, and the second suture fixation device includes a shape that is different from the elongated shape.
11. The method as recited in claim 1 , wherein the drill bit is drilled through both the fibula and the tibia during the drilling.
12. The method as recited in claim 1 , wherein pulling the first suture fixation device includes:
pulling the first suture fixation device in a lateral-to-medial direction.
13. The method as recited in claim 1 , wherein flipping the first suture fixation device includes:
pivoting the first suture fixation device until the first suture fixation device rests over a medial cortex of the tibia.
14. The method as recited in claim 1 , wherein the first suture fixation device includes a button.
15. The method as recited in claim 1 , wherein at least a portion of the second suture fixation device is round, and wherein a free end of the flexible suture coupling passes through an aperture formed through the portion of the second suture fixation device that is round.