A locking suture construct having suture material with a first end and a second end, each attached to a first body in a slidable manner, a constricting member formed in the second end of the suture material, and a bight in the suture material between the first end and the second end. The bight can be pulled through the constricting member around a second body to create a locking loop. The first end and the second end are passed through the locking loop. Pulling the first end increases a perimeter of the locking loop and moves the constricting member toward the second body. When the constricting member reaches the second body, pulling the first end reduces the perimeter of the locking loop and moves/rotates the constricting member around the second body toward the first body to hold the first body in relative position to the second body.

Disclosed is a surgical device for soft tissue repair, including: a flexible anchor consisting of a textile braid forming a first arm and a second arm extending distally away from a vertex area; and at least one suture thread having a median portion placed near the vertex area and two strands passing through the braid transversely at several sites. The first strand passes through the braid alternately at two sites adjacent to the first arm and at two sites adjacent to the second arm, the sites passed through in sequence on the same arm moving away from the vertex zone. The second strand passes through the braid at least at two sites of the second arm, the sites passed through in sequence moving away from the vertex zone. The device is inserted into a hole made in a bone and assumes a compressed configuration after insertion.

Knotless suture-based implant systems and related methods for joining bone and/or tissue portions is disclosed. The implant systems include a flexible anchor tube comprising an annular side wall defining an internal cavity, a first longitudinal end and a second longitudinal end. The implant systems also comprise a suture that extends through the side wall of the anchor tube a plurality of times and forms a free loop portion that extends from the side wall. The implant systems further comprise at least one suture passer extending through a portion of the loop portion of the suture configured to translate first and second end portions of the suture through the loop portion via translation of the at least one suture passer. The suture extends along a pattern that allows the suture to slide through the anchor tube when the first and second end portions of the suture are tensioned.

A locking suture construct having suture material with a first end and a second end, each attached to a first body in a slidable manner, a constricting member formed in the second end of the suture material, and a bight in the suture material between the first end and the second end. The bight can be pulled through the constricting member around a second body to create a locking loop. The first end and the second end are passed through the locking loop. Pulling the first end increases a perimeter of the locking loop and moves the constricting member toward the second body. When the constricting member reaches the second body, pulling the first end reduces the perimeter of the locking loop and moves/rotates the constricting member around the second body toward the first body to hold the first body in relative position to the second body.

Surgical constructs and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair constructs include a fixation device, a flexible strand, and a shuttle/pull device attached to the flexible strand and provided within the body of the fixation device. A splice is formed by pulling on the shuttle/pull device to allow desired tensioning of soft tissue to be fixated or repaired relative to the bone.

A knotless instability anchor having an anchor having a first side and a second side with a suture material passing therethrough from the first side to the second side. The suture material has an adjustable loop extending from the first side of the anchor and a first limb and a second limb extending from the second side of the anchor. A splice is formed in the first limb between a first end of the first limb and the anchor. A self-collapsing loop is formed in the first limb between the first end and the splice. The second limb extends through the splice in the first limb.

A suture device comprises at least one weft strand interwoven with a plurality of warp strands to define a body region. The body region has a substantially open mesh construction and at least a first elongate end region axially extending from and being one part with the body region having a substantially closed mesh construction. The width of the end region is substantially less than a width of the body region.

Systems and methods for preparing a ligament graft for a ligament reconstruction procedure are provided. In general, the described techniques utilize a graft preparation system having a holder and a delivery suture assembly removably coupled thereto. The delivery suture assembly can include a spine coupled with an anchor suture configured to form a self-tightening knot used to position the assembly around a graft and a plurality of suture windings configured to be affixed to the graft when the assembly is deployed. The assembly is delivered to the graft using the holder and the sutures can be affixed to the graft without penetrating therethrough. The spine helps to evenly distribute the load among the windings compressing the graft which are thus are capable of withstanding increased loads. Thus, an improved, simplified, and time- and labor-saving approach to preparing ligament grafts is provided.

Disclosed herein are suture systems and method of use thereof. The suture systems can include a passer, a needle, a first suture, and a second suture. The needle can be sized to pass through a cavity defined by the passer and define an attachment member. The first suture can include a first end, a second end, and a portion sized to be received by the attachment member and pass through the passer. The second suture can include a suture passage extending from a suture inlet to a suture exit. The first suture can be operable to pull a portion of the second suture at least partially around an anatomical structure. The second suture can be operable to reduce an anatomical structure when a first end of the second suture is passed through the suture passage.

A method for coupling tissue with a flexible member including a tail and a self-locking construct coupled to the tail. The self-locking construct includes an adjustable first loop and an adjustable second loop coupled thereto. The method includes implanting an anchor in bone, the anchor slidably mounted to the tail. The tail is positioned relative to the tissue. An end of the tail is inserted through the first loop. The tail is passed through the first loop, the second loop is pulled into the anchor, and the self-locking construct is positioned relative to the tissue. The self-locking construct is tightened against the tissue by pulling on an end of the self-locking construct. The first loop is tightened onto the second loop.