Claims
- 1. An apparatus for securing a graft in a bone tunnel formed in a bone, the bone tunnel having a longitudinal axis, the bone having an outer surface, bone on a first side of the bone tunnel, and bone on a second side of the bone tunnel, the apparatus comprising:
a base member; a tunnel guide rod including a first end, a second end, and an axis therebetween, the tunnel guide rod being attached to the base member at the tunnel guide rod first end, the tunnel guide rod including a transverse opening through the rod near its second end, the tunnel guide rod second end being positionable in the bone tunnel; a drill guide connected to the base member and directed transversely to align with the transverse opening in the tunnel guide rod, the drill guide including a first end and a second end, the first end being positionable against the outer surface of the bone; and a transverse drill bit engageable with the drill guide to direct the transverse drill bit to drill a transverse bone hole through the bone on the first side of the bone tunnel, through the transverse opening in the guide rod and into the bone on the second side of the tunnel until a portion of the transverse drill bit abuts the tunnel guide rod, the transverse drill bit including a plurality of depth markings along a portion of its length, the depth markings being readable relative to a portion of the drill guide such that when the drill guide first end is positioned against the outer surface of the bone and the portion of the transverse drill bit abuts the tunnel guide rod, the depth markings indicate the distance from the tunnel guide rod to the outer surface of the bone adjacent the first end of the drill guide.
- 2. The apparatus of claim 1 further comprising a plurality of transverse members, each of the plurality of transverse members having a different length, at least one of the transverse members being less than or equal to the distance from the tunnel guide rod to the outer surface of the bone, the at least one transverse member being engageable with the transverse bone hole to secure a graft in the bone tunnel.
- 3. The apparatus of claim 2 wherein each of the depth markings on the transverse drill bit correspond to a length of one of the plurality of transverse members.
- 4. The apparatus of claim 1 further comprising a notch cutter having a longitudinal shaft and a cutting member projecting radially outwardly from the shaft and wherein the tunnel guide rod includes an outer side wall and an axial bore opening radially outwardly through the outer side wall, the notch cutter shaft being receivable for axial translation along the axial bore with the cutting member projecting radially beyond the outer side wall such that the cutter is movable axially to cut a longitudinal bone notch along a portion of the bone tunnel.
- 5. The apparatus of claim 1 further comprising a graft block attached to the graft, the graft block including a transverse graft block bore having a bore axis and a radial projection, the radial projection receivable in the longitudinal bone notch to orient the graft block bore in a desired orientation.
- 6. The apparatus of claim 1 further comprising a locator rod having a first end and a second end, the locator rod being engageable with the drill guide and the locator rod first end being engageable with the transverse bone hole such that when the drill guide is removed, the locator rod remains engaged with the transverse bone hole to maintain a reference to the position of the transverse bone hole.
- 7. The apparatus of claim 1 wherein the drill guide further comprises an outer side wall and an inner bore, the drill guide including a viewing window communicating from the outer side wall to the inner bore near the first end so that articles passed through the bore are viewable through the window.
- 8. The apparatus of claim 1 further comprising a suture passing pin and wherein the tunnel guide rod further includes an axial bore from the first end to the second end, the bore being sized to guide the suture passing pin approximately parallel to the bone tunnel axis as the suture passing pin is drilled through the bone from the tunnel to the outer bone surface to form a suture passing hole from the bone tunnel to the outer bone surface.
- 9. An apparatus for securing a graft in a bone tunnel formed in a bone, the bone tunnel having a longitudinal axis, the bone having an outer surface, bone on a first side of the bone tunnel, and bone on a second side of the bone tunnel, the apparatus comprising:
a base member; a tunnel guide rod having a body with an outer side wall, a first end, a second end, and an axis therebetween, an axial bore opening radially outwardly through the outer side wall, the tunnel guide rod being attached to the base member at its first end, the tunnel guide rod second end being positionable in the bone tunnel; a drill guide connected to the base member and directed transversely toward the tunnel guide rod; and a notch cutter having a longitudinal shaft and a cutting member projecting radially outwardly from the shaft, the notch cutter shaft being receivable for axial translation along the tunnel guide rod axial bore with the cutting member projecting radially beyond the outer side wall such that the cutter is movable axially to cut a longitudinal bone notch along a portion of the bone tunnel.
- 10. An apparatus for securing a graft in a bone tunnel formed in a bone, the bone tunnel having a longitudinal axis, the bone having an outer surface, bone on a first side of the bone tunnel, and bone on a second side of the bone tunnel, the apparatus comprising:
a base member; a tunnel guide rod having a body with a first end, a second end, and an axis therebetween, the tunnel guide rod being attached to the base member at its first end, the tunnel guide rod second end being positionable in the bone tunnel; a drill guide connected to the base member and directed transversely toward the tunnel guide rod; and a locator rod having a body with a first end and a second end, the locator rod body being engageable with the drill guide and the locator rod first end being engageable with the transverse bone hole such that when the drill guide is removed, the locator rod remains engaged with the transverse bone hole to maintain a reference to the position of the transverse bone hole.
- 11. The apparatus of claim 10 wherein the locator rod first end is threaded to threadingly engage the transverse bone hole.
- 12. An apparatus for securing a graft in a bone tunnel formed in a bone, the bone tunnel having a longitudinal axis, the bone having an outer surface, bone on a first side of the bone tunnel, and bone on a second side of the bone tunnel, the apparatus comprising:
a base member; a tunnel guide rod having a body with a first end, a second end, and an axis therebetween, the tunnel guide rod being attached to the base member at the tunnel guide rod first end, the tunnel guide rod second end being positionable in the bone tunnel; and a drill guide connected to the base member and directed transversely toward the tunnel guide rod, the drill guide including an outer side wall, an inner bore, a first end, and a second end, the first end being positionable against the outer surface of the bone, and a viewing window communicating from the outer side wall to the inner bore near the first end so that articles passed through the bore are viewable through the window.
- 13. The apparatus of claim 12 wherein the drill guide further comprises a depth marking adjacent the window, the depth marking being spaced a predetermined distance from the first end of the drill guide so that articles in the bore can be referenced to the depth marking to determine the articles position relative to the first end of the drill guide.
- 14. An apparatus for securing a graft in a bone tunnel formed in a bone, the bone tunnel having a longitudinal axis, the bone having an outer surface, bone on a first side of the bone tunnel, and bone on a second side of the bone tunnel, the apparatus comprising:
a base member; a tunnel guide rod having a body with a first end, a second end, and an axis therebetween, the tunnel guide rod being attached to the base member at its first end, the tunnel guide rod second end being positionable in the bone tunnel; a drill guide connected to the base member and directed transversely toward the tunnel guide rod, the drill guide including an outer side wall, an inner bore, a first end, and a second end, the first end being positionable adjacent the outer surface of the bone; and a transverse drill bit engageable with the drill guide to direct the transverse drill bit to drill a transverse bone hole through the bone toward the tunnel guide rod, the transverse drill bit including a drill stop marking that aligns with a drill stop reference on the base member to indicate when a portion of the transverse drill bit is at a predetermined depth relative to the tunnel guide rod, the transverse drill bit further including depth markings readable relative to the drill guide to indicate the distance from the portion of the transverse drill bit to the outer surface of the bone adjacent the first end of the drill guide.
- 15. The apparatus of claim 14 wherein the drill guide further includes a window communicating from the outer side wall to the inner bore near the drill guide second end, the drill stop marking being viewable through the window to align the drill stop marking with the drill stop reference on the base member.
- 16. An apparatus for securing a graft in a bone tunnel formed in a bone, the bone tunnel having a longitudinal axis, the bone having an outer surface, bone on a first side of the bone tunnel, and bone on a second side of the bone tunnel, the apparatus comprising:
a base member; a tunnel guide rod having a body with a first end, a second end, and an axis therebetween, the tunnel guide rod being attached to the base member at its first end, the tunnel guide rod second end being positionable in the bone tunnel; a drill guide connected to the base member and directed transversely toward the tunnel guide rod, the drill guide including an outer side wall, an inner bore, a first end, and a second end, the first end being positionable against the outer surface of the bone; a drill stop mounted on the base member; and a transverse drill bit engageable with the drill guide to direct the transverse drill bit to drill a transverse bone hole through the bone toward the tunnel guide rod, the transverse drill bit including a drill stop collar that engages the drill stop mounted on the base member to stop the progress of the transverse drill bit when a portion of the transverse drill bit is at a predetermined depth relative to the tunnel guide rod.
- 17. The apparatus of claim 16 wherein the drill stop further includes graduations readable relative to a portion of the drill guide to indicate the distance from the portion of the transverse drill bit to the outer surface of the bone adjacent the first end of the drill guide.
- 18. The apparatus of claim 16 wherein the drill stop further includes a support rod having a first end engageable with the base member and a second end spaced from the base member, the support rod including the graduations along its length, a stop body being connected to the second end of the support rod, the stop body having an opening for receiving the transverse drill bit, the transverse drill bit stopping when the transverse drill bit stop collar abuts the stop body.
- 19. A method for securing a graft in a bone tunnel in a bone having an outer surface, the method comprising:
drilling a bone tunnel into a bone with a tunnel drill bit; removing the tunnel drill bit; providing a drill guide apparatus having a base member, a tunnel guide rod connected to the base member and a drill guide connected to the base member, the drill guide being directed transversely toward the tunnel guide rod; positioning the drill guide by inserting the tunnel guide rod into the bone tunnel and positioning the drill guide adjacent the outer surface of the bone; engaging a transverse drill bit with the drill guide; drilling a transverse bone hole from the outside surface of the bone into the bone until a portion of the transverse drill bit is at a predetermined depth relative to the tunnel guide rod; measuring the distance from the portion of the transverse drill bit to the outside surface of the bone by reading depth markings on the transverse drill bit relative to the drill guide; selecting a transverse member based on the distance from the portion of the transverse drill bit to the outside surface of the bone; and inserting the transverse member through the transverse bone hole to secure a graft in the bone tunnel.
- 20. A method for securing a graft in a bone tunnel in a bone having an outer surface, the method comprising:
drilling a bone tunnel into a bone with a tunnel drill bit; removing the tunnel drill bit; providing a drill guide apparatus having a base member, a tunnel guide rod connected to the base member and a drill guide connected to the base member, the drill guide being directed transversely toward the tunnel guide rod; positioning the drill guide by inserting the tunnel guide rod into the bone tunnel and positioning the drill guide adjacent the outer surface of the bone; engaging a transverse drill bit with the drill guide; drilling a transverse bone hole from the outside surface of the bone into the bone toward the tunnel guide rod; forming a radially projecting longitudinal notch along the bone tunnel in known circumferential relationship to the transverse bone hole; providing a graft block including a transverse bore and a radial projection; inserting the graft block into the bone tunnel, the radial projection engaging the longitudinal notch to align the transverse bore of the graft block with the transverse bone hole; and inserting a transverse member through the transverse bone hole to secure the graft block in the bone tunnel.
- 21. A method for securing a graft in a bone tunnel in a bone having an outer surface, the method comprising:
drilling a bone tunnel into a bone; removing the tunnel drill bit; providing a drill guide apparatus having a base member, a tunnel guide rod connected to the base member and a drill guide connected to the base member, the drill guide being directed transversely toward the tunnel guide rod, the tunnel guide rod having an axial throughbore; positioning the drill guide by inserting the tunnel guide rod into the bone tunnel and positioning the drill guide adjacent the outer surface of the bone; engaging a transverse drill bit with the drill guide; drilling a transverse bone hole from the outside surface of the bone into the bone toward the tunnel guide rod; guiding a pin through the tunnel guide rod bore to form a suture passing hole from the bone tunnel to the outer bone surface; pulling a suture through the suture passing hole to pull a graft into the bone tunnel; and inserting a transverse member through the transverse bone hole to secure the graft block in the bone tunnel.
- 22. A method for securing a graft in a bone tunnel in a bone having an outer surface, the method comprising:
drilling a bone tunnel into a bone with a tunnel drill bit; removing the tunnel drill bit; providing a drill guide apparatus having a base member, a tunnel guide rod connected to the base member and a drill guide connected to the base member, the drill guide being directed transversely toward the tunnel guide rod; positioning the drill guide by inserting the tunnel guide rod into the bone tunnel and positioning the drill guide adjacent the outer surface of the bone; engaging a transverse drill bit with the drill guide; drilling a transverse bone hole from the outside surface of the bone into the bone toward the tunnel guide rod; removing the transverse drill bit; providing a locating rod; engaging the locating rod with the transverse bone hole; removing the transverse drill guide while leaving the locating rod in place to maintain access to the transverse bone hole; inserting a graft into the bone tunnel; replacing the transverse drill guide over the locating rod; removing the locating rod; and inserting a transverse member through the transverse drill guide and transverse bone hole to secure a graft in the bone tunnel.
- 23. A method for securing a graft in a bone tunnel comprising:
creating a bone tunnel in a bone; providing a graft block having a body and an intermediate connector attached to and extending from said body; attaching a graft to said graft block by connecting it to said intermediate connector; providing a transverse member for being received by said graft block; fitting said graft block with attached graft into said bone tunnel; and engaging said transverse member with said graft block transversely across said bone tunnel to fix the location of said graft block within said bone tunnel.
- 24. The method of claim 23 wherein said graft block body has a proximal end, a distal end, and a transverse aperture in said body between said proximal and distal ends for receiving said transverse member, said intermediate connector being attached to said graft block distal to said transverse aperture so that tensile loading of the graft results in compressive loading of the portion of the graft block between the intermediate connector attachment and the transverse aperture.
- 25. The method of claim 23 further comprising the steps of:
forming a groove in the sidewall of said bone tunnel at a desired circumferential position; providing a radial projection on said graft block; inserting said projection into said groove to align said graft block with said transverse member as said graft block is inserted into the bone tunnel.
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application is a continuation-in-part of U.S. application Ser. No. 10/438,510, filed May 15, 2003, which claims the benefit of U.S. Provisional Application No. 60/380,376, filed May 15, 2002.
Provisional Applications (1)
|
Number |
Date |
Country |
|
60380376 |
May 2002 |
US |
Continuation in Parts (1)
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Number |
Date |
Country |
Parent |
10438510 |
May 2003 |
US |
Child |
10658052 |
Sep 2003 |
US |