Patent Publication Number: US-2022226100-A1

Title: Compression anchor systems, devices, instruments, implants and methods of assembly and use

Description:
CROSS REFERENCE TO RELATED APPLICATION 
     This application is a continuation of PCT Application No. PCT/US2022/012505 filed Jan. 14, 2022 and entitled Compression Anchor Systems, Devices, Instruments, Implants and Methods of Assembly and Use, which claims priority benefit under 35 U.S.C. § 119(e) of U.S. Provisional Application No. 63/199,678 filed Jan. 15, 2021 and entitled Compression Anchor Systems, Devices, Instruments, Implants and Methods of Assembly and Use (Attorney Docket No. 5940.002P1), which are incorporated herein by reference in their entireties. 
    
    
     FIELD OF THE INVENTION 
     The present invention relates generally to general surgery, orthopaedic implants used for fracture compression and soft tissue anchoring. More specifically, but not exclusively, the present invention relates to compression anchor systems, devices, instruments, implants, and methods for assembling and using the compression anchor systems, devices, instruments, and implants. 
     BACKGROUND OF THE INVENTION 
     Often when there is a fracture dislocation or any bone fracture the surrounding ligaments, tendons or other soft tissue may also be injured. Some current methods for repairing these hard and soft tissue injuries include using separate implants or devices to repair the hard tissue or bone injuries and the soft tissue, tendon or ligament injuries. Other methods include a combination implant or device for addressing both the hard and soft tissue injuries. However, the currently available combination implants may include complex components or structures which increase the probability for failure of the sutures. The suture failures may include suture breakage, suture slippage, or the like failures which would be understood by one of ordinary skill in the art. Thus, improved anchoring mechanisms and structures are needed for bone screws to prevent suture failures and to improve the ability to stabilize a fracture dislocation or any bone fracture while also allowing for soft tissue repair of surrounding or associated soft tissue injuries. In addition, improved inserters are needed to address the free ends of the sutures during insertion of the bone screws to avoid suture damage during implantation. 
     SUMMARY OF THE INVENTION 
     Aspects of the present invention provide compression anchor systems, devices, instruments, and implants, and methods for assembling and using the compression anchor systems, devices, instruments, and implants for fusing bones or bone pieces and anchoring soft tissue. 
     In one aspect, provided herein is an anchor system including an implant and a suture coupled to at least a portion of the implant. 
     In another aspect, provided herein is an implant including a head at a first end of the implant, a shaft coupled to and extending from the head to a second end of the implant, and a cannulation extending through the implant from the first end to the second end. The shaft including at least one second threaded section, a smooth section positioned adjacent to the at least one second threaded section, and at least one anchor portion positioned on the smooth section of the shaft. The anchor portion including a first opening extending through the shaft and into the cannulation, a second opening extending through the shaft and into the cannulation, wherein the second opening is spaced apart from the first opening, and a first recess inset into an exterior surface of the implant, wherein the first recess extends between the first opening and the second opening. 
     In yet another aspect, provided herein is an inserter including a handle extending from a first end of the inserter toward a second end and a drive portion extending from the handle to the second end of the inserter. 
     In still another aspect, provided herein is a method of assembling a compression anchor system. 
     In a further aspect, provided herein is a surgical method including obtaining an orthopaedic compression anchor and preparing the bones around a fracture site. The method also includes stabilizing the fracture and determining the length of the implant needed. In addition, the method includes inserting a fixation device across the fracture and using imaging to verify the position of the fixation device. The method also includes preloading the implant with the suture and inserting the compression anchor across the fracture. In addition, the method may include removing the inserter from the compression anchor and releasing the sutures and performing the soft tissue repair with the sutures. Further, the method includes completing the procedure. 
     These, and other objects, features and advantages of this invention will become apparent from the following detailed description of the various aspects of the invention taken in conjunction with the accompanying drawings. 
    
    
     
       BRIEF DESCRIPTION OF DRAWINGS 
       The accompanying drawings, which are incorporated in and constitute a part of the specification, illustrate embodiments of the invention and together with the detailed description herein, serve to explain the principles of the invention. The drawings are only for purposes of illustrating preferred embodiments and are not to be construed as limiting the invention. It is emphasized that, in accordance with the standard practice in the industry, various features are not drawn to scale. In fact, the dimensions of the various features may be arbitrarily increased or reduced for clarity of discussion. The foregoing and other objects, features and advantages of the invention are apparent from the following detailed description taken in conjunction with the accompanying drawings in which: 
         FIG. 1  is a perspective view of one embodiment of an orthopaedic compression anchor system with a transparent implant, in accordance with an aspect of the present disclosure; 
         FIG. 2  is another perspective view of the compression anchor system of  FIG. 1  with a transparent inserter and implant, in accordance with an aspect of the present disclosure; 
         FIG. 3  is an exploded, first perspective view of the compression anchor system of  FIG. 1 , in accordance with an aspect of the present disclosure; 
         FIG. 4  is an exploded, second perspective view of the compression anchor system of  FIG. 1 , in accordance with an aspect of the present disclosure; 
         FIG. 5  is a first perspective view of the implant of the compression anchor system of  FIG. 1 , in accordance with an aspect of the present disclosure; 
         FIG. 6  is a second perspective view of the implant of  FIG. 5 , in accordance with an aspect of the present disclosure; 
         FIG. 7  is a first side view of the implant of  FIG. 5 , in accordance with an aspect of the present disclosure; 
         FIG. 8  is a second side view of the implant of  FIG. 5 , in accordance with an aspect of the present disclosure; 
         FIG. 9  is a third side view of the implant of  FIG. 5 , in accordance with an aspect of the present disclosure; 
         FIG. 10  is a fourth side view of the implant of  FIG. 5 , in accordance with an aspect of the present disclosure; 
         FIG. 11  is a first end view of the implant of  FIG. 5 , in accordance with an aspect of the present disclosure; 
         FIG. 12  is a second end view of the implant of  FIG. 5 , in accordance with an aspect of the present disclosure; 
         FIG. 13  is a first cross-sectional side perspective view of the implant of  FIG. 5  taken along line  13 - 13  in  FIG. 9 , in accordance with an aspect of the present disclosure; 
         FIG. 14  is a second cross-sectional side perspective view of the implant of  FIG. 5  taken along line  14 - 14  in  FIG. 7 , in accordance with an aspect of the present disclosure; 
         FIG. 15  is a perspective view of the assembled implant and suture anchor of  FIG. 1  with a transparent implant, in accordance with an aspect of the present disclosure; 
         FIG. 16  is a cross-sectional side view of the assembled implant and suture anchor of  FIG. 15  taken along line  16 - 16  in  FIG. 15 , in accordance with an aspect of the present disclosure; 
         FIG. 17  is a side view of the inserter of the compression anchor system of  FIG. 1 , in accordance with an aspect of the present disclosure; 
         FIG. 18  is a top and/or bottom view of the inserter of  FIG. 17 , in accordance with an aspect of the present disclosure; 
         FIG. 19  is a first cross-sectional side view of the inserter of  FIG. 17  taken along line  19 - 19  in  FIG. 17 , in accordance with an aspect of the present disclosure; 
         FIG. 20  is a second cross-sectional side view of the inserter of  FIG. 17  taken along line  20 - 20  in  FIG. 18 , in accordance with an aspect of the present disclosure; 
         FIG. 21  is a perspective view of another embodiment of an implant and suture anchor for an orthopaedic compression anchor system, in accordance with an aspect of the present disclosure; 
         FIG. 22  is another perspective view of the implant and suture anchor of  FIG. 21  with a transparent implant, in accordance with an aspect of the present disclosure; 
         FIG. 23  is a first, perspective view of the implant of  FIG. 21 , in accordance with an aspect of the present disclosure; 
         FIG. 24  is a second, perspective view of the implant of  FIG. 21 , in accordance with an aspect of the present disclosure; 
         FIG. 25  is a first side view of the implant of  FIG. 21 , in accordance with an aspect of the present disclosure; 
         FIG. 26  is a second side view of the implant of  FIG. 21 , in accordance with an aspect of the present disclosure; 
         FIG. 27  is a third side view of the implant of  FIG. 21 , in accordance with an aspect of the present disclosure; 
         FIG. 28  is a fourth side view of the implant of  FIG. 21 , in accordance with an aspect of the present disclosure; 
         FIG. 29  is a first end view of the implant of  FIG. 21 , in accordance with an aspect of the present disclosure; 
         FIG. 30  is a second end view of the implant of  FIG. 21 , in accordance with an aspect of the present disclosure; 
         FIG. 31  is a first cross-sectional view of the implant of  FIG. 21  taken along line  31 - 31  in  FIG. 26 , in accordance with an aspect of the present disclosure; 
         FIG. 32  is a second cross-sectional view of the implant of  FIG. 21  taken along line  32 - 32  in  FIG. 25 , in accordance with an aspect of the present disclosure; 
         FIG. 33  is a method of inserting an orthopaedic compression anchor into a patient&#39;s bone(s) and securing the suture anchor to a patient&#39;s soft tissue, in accordance with an aspect of the present disclosure; 
         FIG. 34  is a perspective view of another embodiment of an orthopaedic compression anchor system, in accordance with an aspect of the present disclosure; 
         FIG. 35  is a top view of the compression anchor system of  FIG. 34 , in accordance with an aspect of the present disclosure; 
         FIG. 36  is a side view of the compression anchor system of  FIG. 34 , in accordance with an aspect of the present disclosure; 
         FIG. 37  is an exploded, first perspective view of the compression anchor system of  FIG. 34 , in accordance with an aspect of the present disclosure; 
         FIG. 38  is an exploded, second perspective view of the compression anchor system of  FIG. 34 , in accordance with an aspect of the present disclosure; 
         FIG. 39  is a top view of an orthopaedic compression anchor of the system of  FIG. 34  with a transparent implant, in accordance with an aspect of the present disclosure; 
         FIG. 40  is a perspective view of the orthopaedic compression anchor of  FIG. 39 , in accordance with an aspect of the present disclosure; 
         FIG. 41  is a magnified view of a portion of the orthopaedic compression anchor of  FIG. 39 , in accordance with an aspect of the present disclosure; 
         FIG. 42  is a cross-sectional view of a portion of the orthopaedic compression anchor of  FIG. 39  taken along line  42 - 42  in  FIG. 39 , in accordance with an aspect of the present disclosure; 
         FIG. 43  is a cross-sectional view of a portion of the orthopaedic compression anchor of  FIG. 39  taken along line  43 - 43  in  FIG. 39 , in accordance with an aspect of the present disclosure; 
         FIG. 44  is a first perspective view of the implant of the orthopaedic compression anchor system of  FIG. 34 , in accordance with an aspect of the present disclosure; 
         FIG. 45  is a second perspective view of the implant of  FIG. 44 , in accordance with an aspect of the present disclosure; 
         FIG. 46  is a first side view of the implant of  FIG. 44 , in accordance with an aspect of the present disclosure; 
         FIG. 47  is a second side view of the implant of  FIG. 44 , in accordance with an aspect of the present disclosure; 
         FIG. 48  is a third side view of the implant of  FIG. 44 , in accordance with an aspect of the present disclosure; 
         FIG. 49  is a fourth side view of the implant of  FIG. 44 , in accordance with an aspect of the present disclosure; 
         FIG. 50  is a first end view of the implant of  FIG. 44 , in accordance with an aspect of the present disclosure; 
         FIG. 51  is a second end view of the implant of  FIG. 44 , in accordance with an aspect of the present disclosure; 
         FIG. 52  is a first cross-sectional view of the implant of  FIG. 44  taken along line  52 - 52  in  FIG. 50 , in accordance with an aspect of the present disclosure; 
         FIG. 53  is a second cross-sectional view of the implant of  FIG. 44  taken along line  53 - 53  in  FIG. 50 , in accordance with an aspect of the present disclosure; 
         FIG. 54  is a first perspective view of the anchor member of the orthopaedic compression anchor system of  FIG. 34 , in accordance with an aspect of the present disclosure; 
         FIG. 55  is a second perspective view of the anchor member of  FIG. 54 , in accordance with an aspect of the present disclosure; 
         FIG. 56  is a first side view of the anchor member of  FIG. 54 , in accordance with an aspect of the present disclosure; 
         FIG. 57  is a second side view of the anchor member of  FIG. 54 , in accordance with an aspect of the present disclosure; 
         FIG. 58  is a third side view of the anchor member of  FIG. 54 , in accordance with an aspect of the present disclosure; 
         FIG. 59  is a fourth side view of the anchor member of  FIG. 54 , in accordance with an aspect of the present disclosure; 
         FIG. 60  is a first end view of the anchor member of  FIG. 54 , in accordance with an aspect of the present disclosure; 
         FIG. 61  is a second end view of the anchor member of  FIG. 54 , in accordance with an aspect of the present disclosure; 
         FIG. 62  is a first cross-sectional view of the anchor member of  FIG. 54  taken along line  62 - 62  in  FIG. 60 , in accordance with an aspect of the present disclosure; 
         FIG. 63  is a second cross-sectional view of the anchor member of  FIG. 54  taken along line  63 - 63  in  FIG. 60 , in accordance with an aspect of the present disclosure; 
         FIG. 64  is a perspective view of the inserter of the orthopaedic compression anchor system of  FIG. 34 , in accordance with an aspect of the present disclosure; 
         FIG. 65  is a magnified view of a portion of the inserter of  FIG. 64 , in accordance with an aspect of the present disclosure; 
         FIG. 66  is a method of inserting an orthopaedic compression anchor of  FIG. 34  into a patient&#39;s bone(s) and securing the suture anchor to a patient&#39;s soft tissue, in accordance with an aspect of the present disclosure; 
         FIG. 67  is a first perspective view of another inserter and another anchor member of an orthopaedic compression anchor system, in accordance with an aspect of the present disclosure; 
         FIG. 68  is a second perspective view of the inserter and anchor member of  FIG. 67 , in accordance with an aspect of the present disclosure; 
         FIG. 69  is a first perspective, magnified view of a portion of the inserter and the anchor member of  FIG. 67 , in accordance with an aspect of the present disclosure; and 
         FIG. 70  is a second perspective, magnified view of the portion of the inserter and the anchor member of  FIG. 67 , in accordance with an aspect of the present disclosure. 
     
    
    
     DETAILED DESCRIPTION FOR CARRYING OUT THE INVENTION 
     Generally stated, disclosed herein are compression anchor systems, devices, instruments, and implants. Further, a method of assembly and a surgical method for using the compression anchor systems, devices, instruments, and implants are discussed. 
     In this detailed description and the following claims, the words proximal, distal, anterior, posterior, medial, lateral, superior and inferior are defined by their standard usage for indicating a particular part of a bone or implant according to the relative disposition of the natural bone or directional terms of reference. For example, “proximal” means the portion of a device or implant nearest the torso, while “distal” indicates the portion of the device or implant farthest from the torso. As for directional terms, “anterior” is a direction towards the front side of the body, “posterior” means a direction towards the back side of the body, “medial” means towards the midline of the body, “lateral” is a direction towards the sides or away from the midline of the body, “superior” means a direction above and “inferior” means a direction below another object or structure. 
     Similarly, positions or directions may be used herein with reference to anatomical structures or surfaces. For example, as the current devices and methods are described herein with reference to use with the bones of the hand, the bones of the hand, wrist and lower arm may be used to describe the surfaces, positions, directions or orientations of the devices, instrumentation and methods. Further, the devices and methods, and the aspects, components, features and the like thereof, disclosed herein are described with respect to one side of the body for brevity purposes. However, as the human body is relatively symmetrical or mirrored about a line of symmetry (midline), it is hereby expressly contemplated that the device and methods, and the aspects, components, features and the like thereof, described and/or illustrated herein may be changed, varied, modified, reconfigured or otherwise altered for use or association with another side of the body for a same or similar purpose without departing from the spirit and scope of the invention. For example, the devices and methods, and the aspects, components, features and the like thereof, described herein with respect to a right hand may be mirrored so that they likewise function with a left hand and vice versa. Further, the devices and methods, and the aspects, components, features and the like thereof, disclosed herein are described with respect to the hand for brevity purposes, but it should be understood that the devices and methods may be used with other bones of the body having similar structures, for example the lower extremity, and more specifically, with the bones of the ankle, foot, and leg. 
     Referring to the drawings, wherein like reference numerals are used to indicate like or analogous components throughout the several views, and with particular reference to  FIGS. 1-32 , there are illustrated the devices of the orthopaedic compression anchor systems  100 . In addition, the method of using the orthopaedic compression anchor systems  100  are shown in  FIG. 33 . One embodiment of an orthopaedic compression anchor system  100  may include, for example, an orthopaedic compression anchor  102 ,  210 , an inserter  160 , and k-wire or fixation devices  200 . The compression anchor  102 ,  210  may include an implant  110 ,  220  and a suture anchor  150 ,  270 . 
     In one embodiment, as shown in  FIGS. 1-4, 15 and 16 , a first compression anchor  102  is shown and includes implant  110  and a suture anchor  150 . As shown in  FIGS. 1-16 , the first implant, bone screw, or compression screw  110  includes a first end  112  and a second end  114  opposite the first end  112 . The implant  110  also includes an exterior surface  116  positioned on the outside of the implant  110 . The exterior surface  116  extends circumferentially around the implant  110 . In addition, the implant  110  also includes a cannulation or through hole  118  extending through the interior of the implant  110  from a first end  112  to a second end  114 . The cannulation  118  may be, for example, sized and shaped to receive a k-wire or guide wire  200 , as well as the suture strands of the suture anchor  150 . The implant  110  also includes a head  120  at the first end  112  and a shaft  130  extending from the head  120  to the second end  114 . The implant  110  may be, for example, a singular integral or monolithic piece (i.e., of one-piece construction), or may be formed from a plurality of components that are coupled (e.g., rigidly coupled) together to form the implant  110 . 
     With continued reference to  FIGS. 5-16 , the head  120  may include a first exterior thread, threaded section, or trailing thread  122 . The first exterior thread  122  may be, for example, a cortical thread. The first thread  122  may extend from, for example, the first end  112  of the implant  110  around the entire exterior surface of the head  120 . It is also contemplated in alternative embodiments that the first thread  122  may extend, for example, around the circumference of the head  120  for only a portion between the first end  112  of the implant  110  to a second end of the head  120 , where the head  120  couples to the shaft  130 , and not the entirety of the exterior surface of the head  120 . In still other embodiments, the first thread  122  may be, for example, more than one first thread  122  spaced apart from each other and positioned on the exterior surface of the head  120 . As shown in  FIGS. 4, 6, 11 and 13-16 , the head  120  also includes a drive opening  124  extending into the head  120  from the first end  112 . The drive opening  124  may, for example, overlap with the cannulation  118 . The drive opening  124  may be formed by an interior drive surface  126 . The interior drive surface  126  may have, for example, a polygonal shape, such as, a hexagonal shape, a torx shape, or another drive shape as known by one of ordinary skill in the art. The drive opening  124  and interior drive surface  126  may be configured or sized and shaped to receive a drive tool, such as, inserter  160 . The head  120  may have, for example, a cylindrical or truncated cone shape. 
     Referring now to  FIGS. 1-10 and 12-15 , the shaft  130  includes at least one threaded section  132 ,  134  positioned along the length of the shaft  130 . The at least one threaded section  132 ,  134  may be, for example, at least two threaded sections  132 ,  134 , such as, at least one second threaded section, trailing thread, or trailing thread  132  and at least one third threaded section, leading thread, or leading trabecular thread  134 . The trailing thread  132  and leading thread  124  may each be, for example, a trabecular threads. The second end  114  of the implant  110  may include flutes or cutouts  136  inset into the third threaded section  134 . The shaft  130  may also include a smooth section  138  along the length of the shaft  130 . The smooth section  138  may be positioned, for example, between the second threaded section  132  and the third threaded section  134 . The lengths of the second threaded section  132 , third threaded section  134 , and smooth section  138  may be, for example, all the same, all different, or at least two the same and one different. In addition, the second threaded section  132  and the third threaded section  134  may have, for example, the same or different thread pitches. Further, the second threaded section  132  and third threaded section  134  may have, for example, the same or different thread pitches as the first threaded section  122 . 
     The shaft  130  may also include a first opening  140  extending into the shaft  130 . In addition, the shaft  130  may include a second opening  142  extending into the shaft  130  and positioned on a side opposite the first opening  140 . The first and second openings  140 ,  142  may include, for example, a curved, chamfered, or filleted edge on the exterior surface  116 . The first opening  140  may be connected to the second opening  142  by a through hole or suture eyelet  144 . The through hole  144  may extend through the shaft  130  perpendicular to the cannulation  118 . The first opening  140 , second opening  142 , and through hole  144  may be positioned along the length of the smooth section  138 , as shown in  FIGS. 5-10 and 14 . In some embodiments, it is contemplated that the first opening  140  may be offset from the second opening  142  along the longitudinal axis or length of the shaft  130 , such that the through hole  144  is positioned at an acute angle with respect to the cannulation and/or longitudinal axis. The shaft  130  may also include a groove or recess  146  inset into the exterior surface  116  of the shaft  130  and extending between the first opening  140  and the second opening  142  on at least one side of the shaft  130 . The groove  146  may also be, for example, positioned on the exterior surface of the smooth section  138 . The groove  146  may be, for example, aligned with the openings  140 ,  142  and the through hole  144  along the length of the implant  110 . The first opening  140 , second opening  142 , through hole  144 , and groove  146  may be, for example, positioned anywhere along the length of the shaft  130  between the head  120  and the second end  114  of the implant  110 . 
     The suture anchor, guide thread, or surgical suture  150  are shown in  FIGS. 1-4, 15 and 16 . The suture anchor  150  may include a first end  152 , a second end  154 , and the anchored portion  156  positioned between the first end  152  and the second end  154 . As shown in  FIGS. 1, 2, 15 and 16 , the suture anchor  150  may be inserted into the implant  110  such that the anchored portion  156  is positioned within the recess  146  with a first portion extending through the first opening  140 , a portion of the suture anchor  150  extending between the anchored portion  156  and the first end  152  being positioned in the cannulation  118 , and the first end  152  positioned outside of the implant  110 . In addition, the anchored portion  156  may have a second portion extending through the second opening  142 , a portion of the suture anchor  150  extending between the anchored portion  156  and the second end  154  being positioned in the cannulation  118 , and the second end  154  positioned outside of the implant  110 . The anchored portion  156  may be positioned, for example, anywhere along the length of the suture anchor  150  between the first end  152  and the second end  154 . The suture anchor  150  may be, for example, preloaded into the implant  110  before the surgical procedure or loaded into the implant  110  during the surgical procedure. The suture anchor  150  may be preloaded by, for example, inserting the first end  152  of the suture anchor  150  into the first opening  140  and threading the first end  152  up the cannulation  118 , through the drive opening  124 , and out of the implant  110  and inserting the second end  154  of the suture anchor  150  into the second opening  142  and threading the second end  154  up the cannulation  118 , through the drive opening  124 , and out of the implant  110 . Alternatively, one of the first end  152  or the second end  154  of the suture anchor  150  may be inserted through the drive opening  124 , down the cannulation  118 , and out one of the first and second openings  140 ,  142 . Next, the end  152 ,  154  of the suture anchor  150  may be inserted into the other of the first and second openings  140 ,  142  and threaded up through the cannulation  118  and out through the drive opening  124 . 
     Referring now to  FIGS. 1-4 and 17-20 , the inserter or driver  160  may include a first end  162  and a second end  164 . The inserter  160  may include a handle  166  and a drive portion  190  coupled to and extending away from the handle  166 . The handle  166  may extend from the first end  162  toward the second end  164  and the drive portion or drive feature  190  may extend from the second end  164  toward the first end  162 . The handle  166  may have, for example, a cylindrical shape with a first diameter. The drive portion  190  may have, for example, a cylindrical shape along at least a portion of the length and at least one second diameter. The first diameter of the handle  166  may be, for example, larger than the at least one second diameter of the drive portion  190 . 
     With continued reference to  FIGS. 1-4 and 17-20 , the handle  166  may include an exterior surface  168  on the outside of the handle  166 . The exterior surface  168  may include, for example, a textured surface, which may include a plurality of recesses  170  or alternative textures to assist with gripping by a user. The inserter  160  may also include a cannulation  172  extending through the inserter  160  from the first end  162  to the second end  164 . The cannulation  172  may extend from the first end  162 , through the handle  166  and the drive portion  190  to the second end  164 . The cannulation  172  extending through the inserter  160  may be, for example, sized and shaped or configured to receive a k-wire or guide wire  200 . The handle  166  may also include a through hole  174  extending through the handle  166  perpendicular to a longitudinal axis of the handle  166  and the cannulation  172 . The through hole  174  may be positioned near a second end of the handle  166 . The through hole  174  may be accessed by a first exit opening  176  on a first side of the handle  166  and a second exit opening  178  on a second side of the handle  166 . The first exit opening  176  may be, for example, positioned on the opposite side of the second exit opening  178 . Thus, the through hole  174  connects the first exist opening  176  and the second exit opening  178 . 
     The handle  166  may also include a tapered region  180  extending from the second end of the handle  166  toward the second end  164  of the inserter  160 , as shown in  FIGS. 1-4 and 17-20 . The tapered region  180  may couple the handle  166  to the drive portion  190 . The tapered region  180  may also include a first entrance opening  182  extending into the tapered region  180  on a first side and a second entrance opening  184  extending into the tapered region  180  on a second side. The first entrance opening  182  being positioned on a side opposite the second entrance opening  184 . The first entrance opening  182  may extend into a first channel  186 , as shown in  FIG. 19 . The first channel  186  may extend, for example, parallel to the cannulation  172 . The first channel  186  may also extend to and into communication with the through hole  174 . The second entrance opening  184  may extend into a second channel  188 . The second channel  188  may extend, for example, parallel to the cannulation  172 , as shown in  FIG. 19 . The second channel  188  may also extend to and into communication with the through hole  174 . The first and second channels  186 ,  188  both may be, for example, sized and shaped or configured to receive the suture strands of the suture anchor  150 . The first and second channels  186 ,  188  may extend into the handle  166  from the second end of the handle  166  toward the first end  162 . 
     As shown in  FIGS. 1-4 and 17-20 , the drive portion  190  may include a body  192  coupled to and extending from the tapered region  180  of the handle  166 . The drive portion  190  may also include a drive member  194  positioned at the second end  164  of the inserter  160 . The drive member  194  may be coupled to the body  192  by an intermediate portion  196 . The intermediate portion  196  may be coupled to the body  192  on a first end and the drive member  194  on the second end. The intermediate portion  196  may be, for example, tapered from the body  192  to the drive member  194 . The drive member  194  may have, for example, a polygonal shape, such as, a hexagonal shape, a torx shape, or another drive shape as known by one of ordinary skill in the art. The drive member  194  may be shaped to correspond to the drive opening  124  in the implant  110 . 
     The guide wire or k-wire  200  is shown in  FIGS. 1-4 . The guide wire  200  may include a first end  202  and a second end  204 . The second end  204  may be, for example, sharp or pointed to be inserted into at least one bone. In addition, the guide wire  200  may be sized and shaped to pass through the cannulation  172  of the inserter  160  and the cannulation  118  of the implant  110 . 
     Referring now to  FIGS. 21-32 , another orthopaedic compression anchor  210  is shown. The compression anchor  210  may include an implant, bone screw, compression screw  220  and a suture anchor  270 . The suture anchor  270  may be inserted into at least a portion of the implant  220  to secure the suture anchor  270  to the implant  220 . The compression anchor  210  may be inserted using the inserter  160  and the guide wire  200  as described in greater detail below. 
     As shown in  FIGS. 21-32 , the implant  220  includes a first end  222  and a second end  224  opposite the first end  222 . The implant  220  may also include an exterior surface  226  extending around the circumference of the implant  220  between the first end  222  and the second end  224 . The implant  220  may have, for example, a generally cylindrical shape. In addition, the implant  220  may include a cannulation or through hole  228  extending through the implant  220  from the first end  222  to the second end  224 . The implant  220  may include a head  230  extending from the first end  222  toward the second end  224  and a shaft  240  extending from the second end  224  toward the first end  222 . The head  230  may be coupled to the shaft  240  between the first end  222  and the second end  224 . The implant  220  may be, for example, a singular integral or monolithic piece (i.e., of one-piece construction), or may be formed from a plurality of components that are coupled (e.g., rigidly coupled) together to form the implant  220 . 
     The head  230  may include a first exterior thread, threaded section, or trailing thread  232 . The first thread  232  may be, for example, a cortical thread. The first thread  232  may extend from, for example, the first end  222  of the implant  220  around the entire exterior surface of the head  230 . It is also contemplated in alternative embodiments that the first thread  232  may extend, for example, around the circumference of the head  230  for only a portion between the first end  222  of the implant  110  and a second end of the head  230 , where the head  230  couples to the shaft  240 . As shown in  FIGS. 24 and 29-32 , the head  230  may also include a drive opening  234  extending into the head  230  from the first end  222 . The drive opening  234  may, for example, overlap with a portion of the cannulation  228  at the first end  112  of the implant  110 . The drive opening  234  may be formed by an interior drive surface  236 . The interior drive surface  236  may have, for example, a polygonal shape, such as, a hexagonal shape, a torx shape, or another drive shape as known by one of ordinary skill in the art. The drive opening  234  and interior drive surface  236  may be configured or sized and shaped to receive a drive tool, such as, inserter  160 . In addition, the head  230  may have, for example, a cylindrical or truncated cone shape. 
     Referring now to  FIGS. 21-28, 31 and 32 , the shaft  240  may include at least one second exterior thread, threaded section, leading thread  242 . The at least one second threaded section  242  may be, for example, positioned at the second end  224  of the implant  220 . The at least one second threaded section  242  may be, for example, a cortical thread. The second end  224  of the implant  220  may also include flutes or cutouts  244 . The flutes  244  may be, for example, inset into the second threaded section  242 . In addition, the shaft  240  may include a smooth section  246  along the length of the shaft  240 . The smooth section  246  may be positioned, for example, between the first threaded section  232  on the head  230  and the second threaded section  242  on the shaft  230 . The length of the second threaded section  242  and the smooth section  246  may be, for example, the same or different. As shown in the depicted embodiment, the smooth section  246  has a length larger than the length of the second threaded section  242  along the shaft  240  of the implant  220 . In addition, the first threaded section  232  and the second threaded section  242  may have, for example, the same or different thread pitches. 
     The shaft  130  may also include a first anchor  248  on a first side of the shaft  240  and a second anchor  260  on a second side of the shaft  240 . The first anchor  248  may be, for example, positioned opposite the second anchor  260 . It is also contemplated that in alternative embodiments the first anchor  248  and the second anchor  260  may be offset from each other along the longitudinal axis of the implant  220  and/or offset from each other around the circumference of the implant  220 , such that the first anchor  248  and the second anchor  260  are not directly opposite each other. The first anchor  248  may include a first opening  250  extending from the exterior surface  226  of the implant  220  into the cannulation  228 . The first anchor  248  may also include a second opening  252  extending from the exterior surface  226  of the implant  220  into the cannulation  228 . The first opening  250  may be spaced apart from the second opening  252  along the longitudinal axis of the implant  220 . The first and second openings  250 ,  252  may have, for example, a curved, chamfered, or filleted edge on the exterior surface  226 . The shaft  240  may also include a first through hole  254  extending through the shaft  240  from the first opening  250  to the opposite side of the shaft  240 . The shaft  240  may further include a second through hole  256  extending through the shaft  240  from the second opening  252  to the opposite side of the shaft  240 . The first and second through holes  254 ,  256  may extend through the implant  220 , for example, perpendicular to the cannulation  228 . The first anchor  248  may also include a first recess or groove  258  inset into the exterior surface  226  of the implant  220  and connecting the first opening  250  and the second opening  252 . The first recess  258  may be positioned on the smooth section  246  of the implant  220 . The first recess  258  may be, for example, aligned with the openings  250 ,  252  and extend parallel to the cannulation  228 . 
     The second anchor  260  may include a third opening  262  and a fourth opening  264 . The third and fourth openings  262 ,  264  may extend from the exterior surface  226  of the implant  220  into the cannulation  228 . The third and fourth openings  262 ,  264  may extend through the implant  220 , for example, perpendicular to the cannulation  228 . The third opening  262  may be spaced apart from the fourth opening  264  along the longitudinal axis of the implant  220 . The third and fourth openings  262 ,  264  may have, for example, a curved, chamfered, or filleted edge on the exterior surface  226 . The third opening  262  may extend into the first through hole  254  such that the first through hole  254  connects the first opening  252  and the third opening  262 . The fourth opening  264  may extend into the second through hole  256  such that the second through hole  256  connects the second opening  254  and the fourth opening  264 . The second anchor  260  may also include a second recess or groove  266  inset into the exterior surface  226  of the implant  220  and connecting the third opening  262  and fourth opening  264 . The second recess  266  may be positioned, for example, on the smooth section  246  of the implant  220 . The second recess  266  may be, for example, aligned with the openings  262 ,  264  and extend parallel to the cannulation  228 . 
     As shown in  FIGS. 21 and 22 , the suture anchor, guide thread, or surgical suture  270  includes a first end  272  and a second end  274  opposite the first end  272 . The suture anchor  270  may also include a first anchor portion  276  positioned between the first end  272  and the second end  274  and a second anchor portion  278  positioned between the first anchor portion  276  and the second end  274 . The suture anchor  270  may be inserted into the implant  220  such that the first anchor portion  276  is positioned within the first recess  258  and the second anchor portion  260  is positioned within the second recess  266 . The first anchor portion  276  may extend from the first end  272 , through the cannulation  228 , out the first opening  250 , back in the second opening  252 , and out of the cannulation  228  to a tissue coupling portion  280 . The second anchor portion  278  may extend from the second end  274 , through the cannulation  228 , out the third opening  262 , back in the fourth opening  264 , and out of the cannulation  228  to the tissue coupling portion  280 . The tissue coupling portion  280  forms a loop between the first anchor portion  276  and the second anchor portion  278  that may be used, for example, to secure the soft tissue back to the hard tissue or bone (not shown). 
     The suture anchor  270  may be, for example, fully preloaded into the implant  220  before the surgical procedure, as shown in  FIGS. 21 and 22 , partially preloaded before the surgical procedure, or fully loaded into the implant  220  during the surgical procedure. The suture anchor  270  may be preloaded by, for example, inserting the first end of the suture anchor  270  through the first opening  250 , into the cannulation  228  and out the first end  222  of the implant  220 . Preloading may also include inserting the second end  274  of the suture anchor  270  through the cannulation  228 , out the fourth opening  264 , back in the third opening  262 , through the cannulation  228  and out the first end  222  of the implant  220 . The insertion of the suture anchor  270  may occur in any order that would position the first anchor portion  276  within the first anchor  248  and the second anchor portion  278  within the second anchor  260 , as shown in  FIGS. 21 and 22 . For a partially preloaded implant  220 , the suture anchor  270  may be inserted into one of the first anchor  248  and the second anchor  260  leaving one free end  272 ,  274  of the suture anchor  270  to be inserted into the other anchor  248 ,  260  during the surgical procedure. 
     Referring now to  FIG. 33 , a surgical method of implanting an orthopaedic compression anchor  102 ,  210  is shown. The surgical method may include obtaining an orthopaedic compression anchor  300 . In addition, the method may include preparing the bones surrounding the fracture site as appropriate for the specific fracture or fusion  310 . Once the bones are prepared, the fracture can be stabilized  320  and the length of the screw required should be measured  330 . Next, an opening may optionally be predrilled into cortical bone  335 . A fixation device, k-wire, guide wire, or the like may then be inserted across the fracture  340  and an imagining device, such as a mini C-arm, may be used to verify the position of the k-wire  350 . In another embodiment, the k-wire could be inserted before predrilling the bone. The compression anchor may then be preloaded with the suture, if the compression screw will also be used as an anchor for ligamentous, tendon, or other soft tissue repair  360 . The compression anchor may then be inserted across the fracture and through the predrilled opening, if made, to maintain compression across the fracture  370 . The compression anchor may be inserted with a standard torx or hex driver or a custom inserter tool. The custom inserter tool will be configured to manage the suture. Thus, if using the inserter  160 , the suture ends  152 ,  154 ,  272 ,  274  should be inserted through a channel  186 ,  188 , into the through hole  174 , and out of the handle  166  through the exit openings  176 ,  178 , respectively. Once the compression anchor is in the desired position, the inserter may be pulled out and the sutures may be released  380 . After the sutures are released, the sutures may be loaded into needles for performing the repair  390 . The ligament, tendon and/or soft tissue repair may then be completed including closing any incisions made during the repair  400 . 
     The surgical method may be used for articular fractures and other fractures to obtain compression across the fracture line while allowing for congruent cartilaginous surfaces to remain intact. The suture coupled to the implant allows for soft tissue repair in the area of the fracture without the need for a separate suture anchor. In one embodiment, the orthopaedic compression anchors  102 ,  210  may be used for repairing a scaphoid fracture and associated soft tissue injuries. In other embodiments, the orthopaedic compression anchors  102 ,  210  may be used for repairing other fractures of the bones of the hand, wrist, foot, ankle, and other like bones. 
     Referring to the drawings, wherein like reference numerals are used to indicate like or analogous components throughout the several views, and with particular reference to  FIGS. 34-63 , there are illustrated the devices of another orthopaedic compression anchor system  500 . In addition, the method of using the orthopaedic compression anchor system  500  is shown in  FIG. 66 . One embodiment of an orthopaedic compression anchor system  500  may include, for example, an orthopaedic compression anchor  502 , an inserter  600 . The compression anchor  502  may include an implant  510 , an anchor member  550 , and a suture anchor  590 . The compression anchor system  500  may also include a k-wire or other fixation device (not shown). 
     In one embodiment, as shown in  FIGS. 34-43 , the compression anchor  502  is shown and includes the implant  510 , the anchor member  550 , and a suture anchor  590 . With continued reference to  FIGS. 34-43  and reference to  FIGS. 44-53 , the third implant, bone screw, or compression screw  510  includes a first end  512  and a second end  514  opposite the first end  512 . The implant  510  also includes an exterior surface  516  positioned on the outside of the implant  510 . The exterior surface  516  extends circumferentially around the implant  510 . In addition, the implant  510  also includes a cannulation or through hole  518  extending through the interior of the implant  510  from the first end  512  to the second end  514 . The cannulation  518  may be, for example, sized and shaped to receive a k-wire, guide wire, or other fixation device (not shown), as well as a portion of the suture strands of the suture anchor  590 . The implant  510  also includes a head  520  at the first end  512  and a shaft  530  extending from the head  520  to the second end  514 . The implant  510  may be, for example, a singular integral or monolithic piece (i.e., of one-piece construction), or may be formed from a plurality of components that are coupled (e.g., rigidly coupled) together to form the implant  510 . 
     With continued reference to  FIGS. 41-53 , the head  520  may include a first exterior thread, threaded section, or trailing thread  522 . The first exterior thread  522  may be, for example, a cortical thread. The first thread  522  may extend from, for example, the first end  512  of the implant  510  to the shaft  530  around the entire exterior surface of the head  520 . It is also contemplated in alternative embodiments that the first thread  522  may extend, for example, around the circumference of the head  520  for only a portion between the first end  512  of the implant  510  to a second end of the head  520 , where the head  520  couples to the shaft  530 , and not around the entirety of the exterior surface of the head  520 . In still other embodiments, the first thread  522  may be, for example, more than one first thread  522  spaced apart from each other and positioned on the exterior surface of the head  520 . As shown in  FIGS. 38, 42-43, 45, 50 and 52-53 , the head  520  also includes a drive opening  524  extending into the head  520  from the first end  512 . The drive opening  524  may, for example, overlap with the cannulation  518 . The drive opening  524  may be formed by an interior drive surface  526 . The interior drive surface  526  may have, for example, a polygonal shape, such as, a hexagonal shape, a torx shape, or another drive shape as known by one of ordinary skill in the art. The drive opening  524  and interior drive surface  526  may be configured or sized and shaped to receive a drive tool (not shown). The head  520  may have, for example, a cylindrical or truncated cone shape. The head  520  may taper from the first end  512  to the shaft  530 . 
     Referring now to  FIGS. 34-49 and 51-53 , the shaft  530  includes at least one second threaded section  532  positioned along the length of the shaft  530 . As shown, the at least one second threaded section  532  may be, for example, one threaded section or trabecular thread  532  extending from the second end  514  of the implant  510  toward the head  520  along the shaft  530 . The second end  514  of the implant  510  may include flutes or cutouts  534  inset into the threaded section  532 . The shaft  530  may also include a smooth section  536  along the length of the shaft  530 . The smooth section  536  may be positioned, for example, between the threaded section  532  and the head  520 . The lengths of the threaded section  532  and smooth section  536  may be, for example, the same or different. Further, the second threaded section  532  may have, for example, the same or different thread pitch as the first threaded section  522 . 
     The shaft  530  may also include an opening  538  extending into the shaft  530  from an exterior surface  516  of the implant  510  and into the through hole  518 . The opening  538  may have, for example, a rectangular or oval shape. The opening  538  may also have, for example, a length extending along the length of the implant  510  which extends from the first end  512  to the second end  514  that is longer than its width extending around the circumference of the implant  510 . The opening  538  may include, for example, a curved, chamfered, or filleted edges on the exterior surface  516 . The shaft  530  may also include an engagement member, tab, leaf spring, or locking member  540  coupled to the second end of the head  520  and extending into the opening  538  along the longitudinal axis or length extending from the first end  512  to the second end  514  of the implant  510 . The engagement member  540  has a first end  542  and a second end  544  opposite the first end  542 . The engagement member  540  may also include an interior surface  546  extending between the first end  542  and the second end  544  and positioned on the inside adjacent to the through hole  518 . The first end  542  may be, for example, coupled to or integral with the second end of the head  520 , as shown in  FIGS. 42 and 46 . The second end  544  may be, for example, a free end or movable end that allows for deformation upon the insertion of the anchor member  550  and engagement with the anchor member  550  once inserted into the implant  510 . As shown, the second end  544  of the engagement member  540  is not coupled to any surrounding portion of the shaft  530 . However, it is also contemplated that the second end  544  of the engagement member  540  could have a moveable or flexible connection (not shown) between the second end  544  of the engagement member  540  and a portion of the shaft  530  surround the opening  538 . The moveable or flexible connection (not shown) would allow for the engagement member  540  to extend out of the opening  538  during insertion of the anchor member  550  and then for the second end  544  of the engagement member  540  to return to a position within the through hole  518  of the implant  510  to engage a portion of the anchor member  550  and retain the anchor member  550  within the implant  510 . The engagement member  540  may have, for example, a rectangular or oval shape with a length extending between the first end  542  and the second end  544  that is longer than the width extending perpendicular to the longitudinal axis or length extending between the first end  542  and the second end  544 . 
     Referring now to  FIGS. 34-43 and 54-63 , the anchor member or plug  550  is shown. The anchor member  550  may include a first end  552  and a second end  554 . A head  556  may be positioned at the first end  552  and a shaft  580  may extend from the head  556  to the second end  554  of the anchor member  550 . The head  556  may have a first arm  558 , a second arm  560 , and a bridge  566  extending between and coupled to a portion of the first arm  558  and a portion of the second arm  560 , as shown in  FIGS. 54-59 and 61-63 . The first arm  558  of the head  556  may also include a first projection  562  positioned at the first end  552  of the anchor member  550 . The first projection  562  may extend from the exterior surface of the first arm  558  forming an engagement surface on the bottom side of the first projection  562  and a top surface at the first end  552  of the anchor member  550 . The first projection  562  may, for example, extend around the entire exterior surface of the rest of the first arm  558 . The first projection  562  may have, for example, a semi-circular or curved shape to correspond to the semi-circular or curved shape of the first arm  558 . The second arm  560  of the head  556  may also include a second projection  564  positioned at the first end  552  of the anchor member  550 . The second projection  564  may be positioned on an opposite side of the head  556  than the first projection  562  and the first projection  562  and second projection  564  may be, for example, mirror images of each other. The second projection  562  may extend from the exterior surface of the second arm  560  forming an engagement surface on the bottom side of the second projection  564  and a top surface at the first end  552  of the anchor member  550 . The second projection  564  may, for example, extend around the entire exterior surface of the rest of the second arm  560 . The second projection  564  may also have, for example, a semi-circular or curved shape to correspond to the semi-circular or curved shape of the second arm  560 . 
     A portion of the first arm  558  and a portion of the second arm  560  may also be separated by, for example, a through hole  572  extending through the head  556 , as shown in  FIGS. 54-55, 57, 59, and 62-63 . The through hole  572  may be, for example, positioned adjacent and distal to the bridge  566 . The bridge  566  may include a top surface  568  and a bottom surface  570 . The top surface  568  may be, for example, flat, planar or the like. The top surface  568  may extend between the top surfaces of the first and second projections  562 ,  564  to form the first end  552  of the anchor member  550 . Each of the surfaces forming the first end  552  of the anchor member  550  may be flat or planar forming a uniform or flush surface. The bottom surface  570  of the bridge  566  may be, for example, curved or arced to form a semi-circular shape. The bottom surface  570  may also include chamfered, curved, or filleted edges to provide a smooth surface for receiving the suture  590 . The shape of the bottom surface  570  of the bridge  566  may also, for example, match or correspond to the shape of the suture  590  to be received within the through hole  572  of the head  556 . The bottom surface  570  of the bridge  566  forms a top side of the through hole  572 . The bottom surface of the through hole  572  may also be, for example, curved or arced to form a semi-circular shape. The bottom surface of the through hole  572  may also be shaped to, for example, match or correspond to the shape of the suture  590  to be received within the through hole  572  of the head  556 . 
     In addition, as shown in  FIGS. 54-55, 57, 59-60, and 62-63 , the head  556  may also include a first channel or recess  574  and a second channel or recess  576 . The first channel  574  may extend, for example, into the head  556  between the first arm  558 , including the first projection  562 , and the second arm  560 , including the second projection  564 . The second channel  576  may extend, for example, into the head  556  between the first arm  558 , including the first projection  562 , and the second arm  560 , including the second projection  564 . The first channel  574  may be positioned on a side of the head  556  opposite the second channel  576 . The first and second channels  574 ,  576  may extend from the exterior surface into the bridge  566 . Thus, the bridge  566  separates the first channel  574  from the second channel  576 . In addition, the through hole  572  extends between the first channel  574  and the second channel  576  below the bridge  566 . The first and second channels  574 ,  576  may extend into the head  556  a depth to allow for each portion of the suture  590  to be recessed within the head  556  of the anchor member  550  once inserted into the implant  510 , as shown in  FIGS. 39-43 . 
     The shaft  580  may include a central portion  582 , a coupling portion or tapered first end  584 , and an insertion end or second end  586 . The central portion  582  may be positioned between the coupling portion  584  and the insertion end  586 . The coupling portion  584  is coupled to and extending from a bottom of the head  556  toward a second end  554  of the anchor member  550 . The coupling portion  584  may have, for example, wider diameter at the end that couples with the head  556  than at the end that couples with a first end of the central portion  582 . The central portion  582  may have a uniformly sized exterior surface as it extends between the coupling portion  584  and the insertion end  586 . A second end of the central portion  582  is coupled to the insertion end  586 . The insertion end  586  includes an engagement surface  588  where the coupling portion  582  couples to the insertion end  586 . The engagement surface  588  may have a diameter wider than the diameter of the central portion  582  to form the engagement surface or top surface  588  of the insertion end  586 . The insertion end  586  may, for example, taper from the engagement surface  588  to the second end  554  of the anchor member  550 . The insertion end  586  may have, for example, a conical or truncated conical shape, as shown in  FIGS. 54-59 and 61-63 . As shown in  FIGS. 60-61 , the widest portion of the head  556  may have, for example, a diameter that is larger than the diameter of the engagement surface  588  of the insertion end  586 . 
     The suture anchor, guide thread, suture, or surgical suture  590  is shown in  FIGS. 34-43 . The suture anchor  590  may include a first end  592 , a second end  594 , and the anchored portion  596  positioned between the first end  592  and the second end  594 . As shown in  FIGS. 34-36 and 42-43 , the suture  590  may be inserted into the through hole  572  of the anchor member  550 , such that the anchored portion  596  is positioned within the through hole  572  and the strands extending from the anchored portion  596  are positioned within the first and second channels  574 ,  576 . A first strand of the strands extends to the first end  592  of the suture  590  and a second strand of the strands extends to the second end  594  of the suture  590 . The anchored portion  596  may be positioned, for example, anywhere along the length of the suture anchor  590  between the first end  592  and the second end  594 . The suture anchor  590  may be, for example, preloaded into the anchor member  550  before the surgical procedure or loaded into the anchor member  550  during the surgical procedure. The suture  590  may be loaded into the anchor member  550  using a suture threader  650 , as described in greater detail below. 
     The suture  590  may be preloaded by, for example, inserting an end  592 ,  594  through the through hole  572  of the anchor member  550 . The suture  590  may be loaded using the suture threader  650 . After the suture  590  is loaded into the anchor member  550 , the suture threader  650  may be removed and the anchor member  550  may be coupled to the inserter  600 . The anchor member  550  may be coupled to the inserter  600  by aligning the end of the inserter  600  with the channels  574 ,  576  of the anchor member  550 . Once the suture  590  is inserted through the through hole  572  and the inserter  600  is engaged with the anchor member  550 , the first end  592  of the suture  590  may be coupled to a first arm  616  of the inserter  600  and the second end  594  of the suture  590  may be coupled to a second arm  622  of the inserter  600 . 
     As shown in  FIGS. 34-38 and 64-65 , the inserter  600  may include a handle  602  and a drive member or insertion member  630 . The handle  602  may include a first end  604  and a second end  606 . The handle  602  may also include a first portion  608  extending from the first end  604  toward the second end  606  and a second portion  612  extending from the second end  606  toward the first end  604 . The first portion  608  may be coupled to the second portion  612  at a coupling region or tapered region  614 . The first portion  608  may also include, for example, a plurality of recesses  610  of various shapes and sizes along the length of the first portion  608 . The plurality of recesses  610  may, for example, assist with grip of the handle  602  by the user. The first portion  608  may have, for example, heights extending between a top surface and a bottom surface of the handle  602  that are larger than the heights of the second portion  612 . 
     With continued reference to  FIGS. 34-38 and 64-65 , the second portion  612  may include a first arm  616  extending away from a first side of the second portion  612  and a second arm  622  extending away from a second side of the second portion  612 . The first arm  616  may extend away from the second portion  612  on a side opposite the second arm  622 . The first and second arms  616 ,  622  may also extend away from the second portion  612  perpendicular to a longitudinal axis of the handle  602  extending between the first end  604  and the second end  606 . The first and second arms  616 ,  622  may have, for example, a square or rectangular shape with curved, arced or rounded corners. The first arm  616  may include a first groove  618  inset into the first arm  616  in a longitudinal direction of the handle  602 . The first groove  618  may be, for example, sized and shaped to receive at least one strand of the suture  590 . The at least one strand of the suture  590  may be, for example, multiple wraps of the suture  590 , depending on the length of the suture  590 , to secure the suture in place during insertion of the anchor member  550 . The first arm  616  may also include at least one first securement recess  620 . The at least one first securement recess  620  may be positioned between the first groove  618  and a free end of the first arm  616 . The at least one first securement recess  620  may be, for example, two first securement recesses  620 . The at least one first securement recess  620  may extend into the first arm  616  in a direction along the longitudinal axis of the handle  602 . The at least one first securement recess  620  may be, for example, sized and shaped to receive a first end  592  of the suture  590  to secure the suture  590  to the first arm  616  of the handle  602 . 
     As also shown in  FIGS. 34-38 and 64-65 , the second arm  622  may include a second groove  624  inset into the second arm  622  in a longitudinal direction of the handle  602 . The second groove  624  may be, for example, sized and shaped to receive at least one strand of the suture  590 . The at least one strand of the suture  590  may be, for example, multiple wraps of the suture  590 , depending on the length of the suture  590 , to secure the suture in place during insertion of the anchor member  550 . The second arm  622  may also include at least one second securement recess  626 . The at least one second securement recess  626  may be positioned between the second groove  624  and a free end of the second arm  622 . The at least one second securement recess  626  may be, for example, two second securement recesses  626 . The at least one second securement recess  626  may extend into the second arm  622  in a direction along the longitudinal axis of the handle  602 . The at least one second securement recess  626  may be, for example, sized and shaped to receive a second end  594  of the suture  590  to secure the suture  590  to the second arm  622  of the handle  602 . 
     The handle  602  further includes an opening  628  extending into the second portion  612  of the handle  602  from a second end  606  toward the first end  604 , as shown in  FIGS. 34, 37 , and  64 . The opening  628  may extend along a length of the handle  602  between the first end  604  and the second end  606 , but does not extend entirely between the first end  604  and the second end  606 . The opening  628  is sized and shaped to receive a first end  632  and a portion of the drive member  630  extending from the first end  632 . The second end  634  of the drive member  630  is positioned opposite the first end  632 . The second end  634  may include a first projection or first engagement member  636 , a second projection or second engagement member  638 , and a channel  640  positioned between the first projection  636  and the second projection  638 . The first projection  636  may be positioned on a first side of the drive member  630  and the second projection  638  may be positioned on a second side of the drive member  630 . Each projection  636 ,  638  may be sized and shaped to engage the channels  574 ,  576 . The projections  636 ,  638  may, for example, extend to contact a portion of the suture  590  extending through the through hole  572  of the anchor member  550 . The inserter  600  may be coupled to the anchor member  550  before or after insertion of the suture  590  into the anchor member  550 . Once the projections  636 ,  638  are positioned within the channels  574 ,  576  of the anchor member  550 , the anchor member  550  may be inserted into the implant  510 . 
     Referring now to  FIGS. 34-38 , the suture threader  650  is shown. The suture threader  650  includes a first side  652  and a second side  654  opposite the first side  652 . The first side  652  may be, for example, arced or curved between a first end and a second end. The first side  652  may, for example, have a semicircular shape or the like to provide an ergonomic grip during insertion of the suture  590  into the anchor member  550 . The second side  654  may be, for example, flat, planar or otherwise smooth for contacting the drive member  630  and anchor member  550  during insertion of the suture  590 . The second side  654  may also include a threading member  656  positioned near a second end of the second side  654 . The threading member  656  may include a portion for receiving the suture  590  and a tip for inserting the threading member  656  coupled to the suture  590  through the through hole  572  of the anchor member  550 . In addition, the threading member  656  may include at least two legs  658 ,  660 ,  662  extending away from the second side  654  between the threading member  656  and the first end. In the depicted embodiment three legs  658 ,  660 ,  662  are shown. The three legs  658 ,  660 ,  662  include a first leg  658 , a second leg  660 , and a third leg  662 . The first leg  658  is positioned near the second end of the second side  654 , between the threading member  656  and the first end of the suture threader  650 , and adjacent to a bottom of the suture threader  650 . The second leg  660  is positioned near the first end of the second side  654 , between the first leg  658  and the third leg  662 , and adjacent to a top of the suture threader  650 . The third leg  662  is positioned near the first end of the second side  654 , between the second leg  660  and the first end of the second side  654 , and adjacent to the bottom of the suture threader  650 . Each leg  658 ,  660 ,  662  may be, for example, shaped to receive and removably couple to the drive member  630 . Each leg  658 ,  660 ,  662  may, for example, deform as the drive member  630  is inserted into the suture threader  650  and then return to its original position. 
     A surgical method of using the orthopaedic compression anchor system  500  is shown in  FIG. 66 . The surgical method may include obtaining an orthopaedic compression anchor  700 . In addition, the method may include preparing the bones surrounding the fracture site as appropriate for the specific fracture or fusion  710 . Once the bones are prepared, the fracture can be stabilized  720  and the length of the screw required should be measured  730 . Next, an opening may optionally be predrilled into cortical bone  735 . A fixation device, k-wire, guide wire, or the like may then be inserted across the fracture and an imagining device, such as a mini C-arm, may be used to verify the position of the k-wire  740 . In another embodiment, the k-wire could be inserted before predrilling the bone. Next, the implant may be inserted across the fracture site and through the predrilled opening, if made, to maintain compression across the fracture  750 . The anchor member may then be preloaded with the suture, if the implant will also be used as an anchor for ligamentous, tendon, or other soft tissue repair  760 . The anchor member may then be inserted into the implant until secured inside the implant  770 . The anchor member may be inserted with a custom inserter tool. The custom inserter tool will be configured to manage the free ends of the suture. Thus, if using the inserter  600 , the suture ends  592 ,  594  should be inserted through the through hole  572 , and out of the anchor member  550  via the channels  574 ,  576 , respectively. Once the anchor member is secured in the implant, the inserter may be pulled out and the sutures may be released  780 . After the sutures are released, the sutures may be loaded into needles for performing the repair  790 . The ligament, tendon and/or soft tissue repair may then be completed including closing any incisions made during the repair  800 . 
     The surgical method may be used for articular fractures and other fractures to obtain compression across the fracture line while allowing for congruent cartilaginous surfaces to remain intact. The suture  590  coupled to the anchor member  550  and implant  510  allows for soft tissue repair in the area of the fracture without the need for a separate suture anchor. In one embodiment, the orthopaedic compression anchor  502  may be used for repairing a scaphoid fracture and associated soft tissue injuries. In other embodiments, the orthopaedic compression anchor  502  may be used for repairing other fractures of the bones of the hand, wrist, foot, ankle, and other like bones. 
     Referring now to  FIGS. 67-70 , another anchor member  900  and another inserter  920  with another handle  922  and another driver member or insertion member  920  are shown. The anchor member  900  includes a head  902  and a shaft  580 . The head  902  includes a first end  904  and a second end  906 . The head  902  may also include a first arm  908  and a second arm  910  extending from the first end  904  toward the second end  906  and the arms  908 ,  910  may extend out circumferentially from the head  902 . The first arm  908  may be, for example, spaced apart from the second arm  910  by a first recess  912  on a first side and a second recess  914  on a second side. The first recess  912  may be, for example, spaced circumferentially around the head  902  from the second recess  914 , such that the first recess  912  is positioned opposite the second recess  914 . The recesses  912 ,  914  may extend into the head  902  from the exterior surface toward an inserter engagement opening  916 . The inserter engagement opening  916  may extend from the first end  904  of the head  902  to the through hole  572 . The opening  916  may be, for example, sized and shaped to receive a portion of the inserter  920 . The shaft  580  is as described in greater detail above with reference to  FIGS. 54-63  and which will not be described again here for brevity&#39;s sake. 
     The handle  922  of the inserter  920  includes a first end  924  and a second end  926  opposite the first end  924 . The handle  922  includes a first portion  928  and a second portion  612 . The first portion  928  extends from the first end  924  toward the second end  926 . The first portion  928  also includes a plurality of recesses  610  extending into the first portion  928  of the handle  922 . The recesses  610  may be, for example, various shapes and sizes as described in greater detail above and which will not be described again here for brevity&#39;s sake. 
     As shown in  FIGS. 69-70 , the driver member  930  may include a first arm  932  and a second arm  938  spaced apart from the first arm  932  by a channel  944 . The first arm  932  may have a first end  934  and a second end  936 . The second end  936  is coupled to and extends away from the base  946  of the driver member  930 . The exterior surface of the first arm  932  may, for example, taper from the first end  934  to the second end  936 . Thus, the first end  934  may be larger than the second end  936 . The second arm  938  may have a first end  940  and a second end  942 . The second end  942  is coupled to and extends away from the base  946  of the driver member  930 . The exterior surface of the second arm  938  may, for example, taper from the first end  940  to the second end  942 . Thus, the first end  940  may be larger than the second end  942 . The channel  944  positioned between the first arm  932  and the second arm  938  allows for deformation of the first and second arms  932 ,  938  during insertion of the arms  932 ,  938  of the driver member  930 . In addition, once inserted the arms  932 ,  938  exert a force on the sides of the opening  916  to retain the driver member  930  within the opening  916  of the anchor member  900  until after the anchor member  900  is inserted into an implant, such as, implant  510 . 
     The anchor member  900  may be used with the surgical method described in  FIG. 66 . 
     As may be recognized by those of ordinary skill in the art based on the teachings herein, numerous changes and modifications may be made to the above-described and other embodiments of the present disclosure without departing from the scope of the disclosure. The devices, implants, and/or systems as disclosed in the specification, including the accompanying abstract and drawings, may be replaced by alternative component(s) or feature(s), such as those disclosed in another embodiment, which serve the same, equivalent or similar purpose as known by those skilled in the art to achieve the same, equivalent or similar results by such alternative component(s) or feature(s) to provide a similar function for the intended purpose. In addition, the devices, implants and systems may include more or fewer components or features than the embodiments as described and illustrated herein. For example, the components and features of the compression anchor systems of  FIGS. 1-20 ,  FIGS. 21-32 , and  FIGS. 34-65  may all be used interchangeably and in alternative combinations as would be modified or altered by one of skill in the art. Accordingly, this detailed description of the currently-preferred embodiments is to be taken in an illustrative, as opposed to limiting of the disclosure. 
     The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used herein, the singular forms “a”, “an” and “the” are intended to include the plural forms as well, unless the context clearly indicates otherwise. It will be further understood that the terms “comprise” (and any form of comprise, such as “comprises” and “comprising”), “have” (and any form of have, such as “has”, and “having”), “include” (and any form of include, such as “includes” and “including”), and “contain” (and any form of contain, such as “contains” and “containing”) are open-ended linking verbs. As a result, a method or device that “comprises,” “has,” “includes,” or “contains” one or more steps or elements possesses those one or more steps or elements, but is not limited to possessing only those one or more steps or elements. Likewise, a step of a method or an element of a device that “comprises,” “has,” “includes,” or “contains” one or more features possesses those one or more features, but is not limited to possessing only those one or more features. Furthermore, a device or structure that is configured in a certain way is configured in at least that way, but may also be configured in ways that are not listed. 
     The invention has been described with reference to the preferred embodiments. It will be understood that the architectural and operational embodiments described herein are exemplary of a plurality of possible arrangements to provide the same general features, characteristics, and general system operation. Modifications and alterations will occur to others upon a reading and understanding of the preceding detailed description. It is intended that the invention be construed as including all such modifications and alterations.