A tissue anchor delivery system includes an elongate shaft and a tissue anchor magazine coupled to the elongate shaft. The delivery system includes a plurality of tissue anchors arranged sequentially within the tissue anchor magazine in a first, pre-deployed configuration. An actuation assembly is configured to deploy a leading one of the tissue anchors in a distal direction from the distal end of the elongate shaft, wherein upon deployment, the deployed tissue anchor transitions from the first, pre-deployed configuration to a second, deployed configuration. Each of the tissue anchors including a tab positioned near the proximal end of the anchor body and a barb positioned near the distal end of the anchor body. The tab and the barb may move relative to the anchor body between the pre-deployed configuration and the deployed configuration.

Multiple systems are described for repairing or replacing anatomic ligaments and tendons utilizing toothed straps and bony anchors incorporating rotatable discs that lock the straps in an axial fashion. Specialized instrumentation is used to prepare the bone and to insert the anchor into the bone while providing proper orientation of the locking disc for accepting the toothed strap.

A system for connecting to a graft to in a reconstruction surgery, comprising: a suture construct; and a staple configured to anchor the suture construct to the graft.