Adjustable pre-sutured allograft construct

Abstract

A pre-sutured allograft construct and method of manufacture for repairing, replacing, reconstructing, or augmenting a hip or shoulder labrum may include a folded tissue portion extending from a first end to a second end and forming top, middle, and bottom folds. A stitched pattern secures the folded tissue portion into a graft roll having an overall length extending from a first adjustable region, through a central region, and through a second adjustable region. A continuous series of whip stitches extends from the first adjustable region, through the central region, and through the second adjustable region. A series of triple circumferential stitches overlays the whip stitches in the first and the second adjustable regions, while a series of circumferential stitches alternates with the whip stitches in the central region. The construct is pre-manufactured as an allograft product, but is adjustable during the surgical procedure within the body. Other embodiments are also disclosed.

What is claimed is: 
     
         1 - 20 . (canceled) 
     
     
         21 . A pre-sutured allograft construct for repairing, replacing, reconstructing, or augmenting a patient’s labrum, comprising:
 a tissue portion extending from a first end to a second end; and 
 a stitched pattern securing the tissue portion into a graft roll having an overall length, the graft roll having a selectively adjustable length, and the graft roll having a fixed diameter, wherein: 
 a series of whip stitches extends over at least a portion of the overall length; and 
 a series of circumferential stitches overlays the series of the whip stitches. 
 
 
     
     
         22 . The pre-sutured allograft construct of  claim 21 , wherein the tissue portion extending from the first end to the second end is a folded tissue portion. 
     
     
         23 . The pre-sutured allograft construct of  claim 21 , wherein the graft roll has an adjustable region. 
     
     
         24 . The pre-sutured allograft construct of  claim 21 , wherein the series of whip stitches is a continuous series of whip stitches. 
     
     
         25 . The pre-sutured allograft construct of  claim 21 , wherein the whip stitches extend from an adjustable region through a central region. 
     
     
         26 . The pre-sutured allograft construct of  claim 25 , wherein a series of circumferential stitches alternates with the series of the whip stitches in the central region. 
     
     
         27 . The pre-sutured allograft construct of  claim 21 , wherein the series of circumferential stitches is a series of triple circumferential stitches. 
     
     
         28 . The pre-sutured allograft construct of  claim 27 , wherein the series of the whip stitches is a continuous series of whip stitches, and wherein the series of triple circumferential stitches overlays the continuous series of the whip stitches. 
     
     
         29 . The pre-sutured allograft construct of  claim 21 , wherein the selectively adjustable length of the graft roll is provided by compression of the graft caused by the series of circumferential stitches overlaying the whip stitches so as to allow a cut through the graft roll, and the graft roll adjacent to the cut is configured to resist becoming unraveled in response to the compression provided by the tissue portion compressed by the series of circumferential stitches holding the suture in place. 
     
     
         30 . The pre-sutured allograft construct of  claim 29 , further comprising a central region and an adjustable region, wherein the adjustable region in includes the series of circumferential stitches overlaying the series of the whip stitches, and the graft roll is configured to allow the cut through the adjustable region and the graft roll adjacent to the cut is configured to resist becoming unraveled in response to the compression provided by the tissue portion compressed by the series of circumferential stitches holding the suture in place. 
     
     
         31 . A pre-sutured allograft construct for repairing, replacing, reconstructing, or augmenting a patient’s labrum, comprising:
 a tissue roll extending from a first end to a second end, the tissue roll including at least one fold; and 
 a stitched pattern securing the tissue roll, the stitched pattern extending through an adjustable region, wherein: 
 the adjustable region comprises a series of circumferential stitches directly overlaying a corresponding series of whip stitches. 
 
 
     
     
         32 . The pre-sutured allograft construct of  claim 31 , wherein the at least one fold includes a top fold, a middle fold, and a bottom fold. 
     
     
         33 . The pre-sutured allograft construct of  claim 31 , further comprising a central region adjacent the adjustable region, and the central region comprises a series of circumferential stitches alternating with the series of the whip stitches. 
     
     
         34 . The pre-sutured allograft construct of  claim 31 , wherein the adjustable region is provided by compression caused by the series of circumferential stitches overlaying the whip stitches so as to allow a cut through the tissue roll in the adjustable region, and the tissue roll adjacent to the cut is configured to resist becoming unraveled in response to the compression provided by the tissue portion compressed by the series of triple circumferential stitches holding the suture in place. 
     
     
         35 . The pre-sutured allograft construct of  claim 31 , wherein the series of whip stitches include partial whip stitches. 
     
     
         36 . A pre-sutured allograft construct for repairing, replacing, reconstructing, or augmenting a patient’s labrum, comprising:
 a tissue roll extending from a first end to a second end; and 
 a stitched pattern securing the tissue roll, the stitched pattern extending through an adjustable region, wherein the adjustable region comprises a series of circumferential stitches. 
 
     
     
         37 . The pre-sutured allograft construct of  claim 36 , wherein series of circumferential stitches of the adjustable region comprises a series of triple circumferential stitches. 
     
     
         38 . The pre-sutured allograft construct of  claim 36 , wherein the adjustable region further comprises a corresponding series of whip stitches, and wherein the series of circumferential stitches directly overlays the corresponding series of whip stitches. 
     
     
         39 . The pre-sutured allograft construct of  claim 36 , further comprising an adjacent region to the adjustable region, the adjacent region comprises a series of circumferential stitches alternating with the series of the whip stitches. 
     
     
         40 . The pre-sutured allograft construct of  claim 36 , wherein the series of circumferential stitches of the adjustable region comprises a series of triple circumferential stitches directly overlaying a corresponding series of whip stitches.