A glossoplasty implant tension relief system for treating an airway of a patient has a first portion configured to engage a mandible of the subject. The system also has a second portion configured to engage a tongue of the subject to retain at least a portion of the tongue. The system includes a connecting portion configured to connect the first portion and the second portion. The connecting portion is constructed and arranged to provide tension between the first portion and the second portion. The connecting portion includes an i) inelastic portion and ii) an elastic portion configured to provide elasticity between the first portion and the second portion.

An adjustable anchor system provides for securing tissue to bone and includes an anchor with a collapsible suture loop affixed thereto and a tissue suture connected to the collapsible suture loop. After the tissue suture is loaded into the tissue and the anchor implanted into the bone the collapsible loop is collapsed to tension the tissue suture.

Devices, systems, and methods are provided for managing suture filament during a tissue repair procedure. One exemplary embodiment of an anchor insertion tool includes a handle, an elongate shaft extending distally from the handle, and a ring disposed around the elongate shaft. The ring can be configured to slide along a length of the shaft, and can be configured to engage a filament extending from an anchor removably coupled to the shaft's distal end during a suture anchor insertion procedure. In some embodiments, the ring can include one or more slots for receiving a filament and maintaining a tension applied to the filament. The ring can also include features that prevent it from rotating with respect to the shaft, such as a boss formed on a ring's central opening that engages a slot formed in the shaft. Other devices, systems, and methods for suture anchor insertion are also provided.

Suture passer systems for tissue suspension and tissue compression, and more particularly for tongue suspension, are described. The system can include at least a first elongate tubular body or shaft, a needle having a lateral bias carried by the elongate body, and a retrieval element operably connected to the elongate tubular body. The needle can have a substantially straight configuration when located within the elongate tubular body, and be configured to exit an opening at or near a distal end of the elongate tubular body and assume a laterally biased or curved shape to form a path through tissue. The needle is configured to carry a suture. The retrieval element can be configured to retrieve the suture carried by the needle after the needle has formed a curved or otherwise angled path through tissue. The system can also include one or more bone anchors to secure the suture loops. Methods of placing one or more suture loops into tissue, such as the base of the tongue, are also described.

Surgical constructs and methods are provided for securing soft tissue to bone. One exemplary embodiment of a construct is formed from a suture filament and includes two terminal ends of filament and an intermediate portion disposed along at least a portion of a length extending between the terminal ends. The construct can have a first terminal end that is the first terminal end of the filament, and a second terminal end that includes a loop. The loop can be formed by disposing the second terminal end of the filament within a volume of a portion of the intermediate portion of the filament. In some disclosed methods, both terminal ends of the filament can be passed through tissue when performing soft tissue repairs. Various other embodiments of constructs and methods are provided, including constructs having two or more filaments associated with an anchor and methods of using such constructs.

Meniscal repair devices, systems, and methods are provided.

A suture construction and method for forming a suture construction is disclosed. The construction utilizes a suture having an enlarged central body portion defining a longitudinal passage. First and second ends of the suture are passed through first and second apertures associated with the longitudinal passage to form a pair of loops. Portions of the suture lay parallel to each other within the suture. Application of tension onto the suture construction causes constriction of the longitudinal passage, thus preventing relative motions of the captured portions of the suture.

Embodiments of the bone anchor assembly (36, 50) described herein have adjustable lengths and therefore accommodate many needs. Therefore, the physician does not need to maintain a multitude of bone anchors having a variety of lengths in order to be prepared for many situations. The bone anchor assembly (36, 50) has an elongated hollow shaft portion (38, 52) formed of multiple shaft segments (46, 58) joined together. The length of the shaft portion (38, 52) is adjusted after the implanting of the bone anchor assembly into the bone by removing shaft segments (46, 58).

Disclosed are methods for correcting hallux varus joint deformity in a foot. The method can include forming a first hole in a first metatarsal of the foot from a medial side to a lateral side of the first metatarsal. A second hole can be formed in a proximal phalanx of a hallux that extends from a medial side to a lateral side of the proximal phalanx. The method includes passing a suture through the first hole, along a lateral side of a first metatarsal phalangeal joint, and through the second hole. The suture can be tensioned between the first and second holes to reduce the hallux to a rectus position relative to the first metatarsal. The suture can be secured within the first and second holes with a first interference screw inserted within the first hole and a second interference screw inserted within the second hole.

An implant assembly may include a first component having a proximal plate and a distal portion extending from the proximal plate, a first screw of a first type, and a first screw of a second type. The proximal plate may have a proximal face, a distal face configured to abut bone, and a periphery. The proximal plate may define a plurality of apertures. An opening may be defined by the proximal plate and extend through the distal portion. Each of the plurality of apertures may be disposed between the opening and the periphery. The first screw of the first type may be sized and configured to be received in the opening and engage bone. The first screw of the second type may be sized and configured to be received in at least one of the plurality of apertures.