An implant system for providing stabilized fixation of tissue includes a button having a slot, a band threaded through the slot, and a lock including a member having a slot for receiving an end of the band and a movable member for clamping the band in place. The movable member is movable between an open position and a locking position. The lock is a plug assembly which includes a flange. The slot is disposed in the flange. The movable member may be a cap which is movable between clamping and non-clamping orientations relative to the flange, or it may be a screw wherein a portion of the screw performs the clamping function. The flange is a portion of a plug, which plug further includes a boss extending from one side of the flange.

Provided herein are surgical kit systems and a methods for using the same for treating thumb arthritis. The surgical kit system includes a spacer, a strand, a first anchoring mechanism, and a second anchoring mechanism. The spacer is configured to be disposed between the thumb metacarpal and the index metacarpal to prevent impingement between the thumb metacarpal and the index metacarpal. The strand is configured to be anchored to the second and first metacarpals by the first and second anchoring mechanism to suspend the thumb metacarpal, respectively.

A graft retention device has an elongated body with first and a second ends, and a midpoint therebetween. A pair of elongated slots through the body defines a tang therebetween. At least one of the slots have an open first end into the body at the body first end such that the first end is closed via a retention line between the tang and the body. A graft retention loop disposed over the tang is slidable therealong from a first position closer to the body first end and a second position closer to the midpoint.

Devices, systems, implants and methods for achieving ligament fixation are disclosed. An implant includes a head member and an anchor member coupled to the head member. The implant includes tension member that couples the head member to the anchor member. The head member and the anchor member include a cannulation that receives the tension member therein. The implant may include a coupling member positioned between and coupling the head member and the anchor member, the coupling member including a cannulation that receives the tension member therethrough. Insertion instruments for inserting an implant for ligament fixation are also disclosed. Methods of using an implant for achieving ligament fixation are also disclosed.

An adjustable construct for fixation of a tendon or ligament graft in a tunnel. The construct comprises a flexible, adjustable loop connected to tissue (for example, graft, ligament or tendon). The adjustable loop may be integrated with an additional tissue supporting device (for example, a wedge or a plug). The tissue is secured within a bone socket/tunnel by adjusting the length of the flexible adjustable loop.

A tenodesis anchor having an anchor member coupled to at least one fiber loop. The anchor member is inserted into a bone and the loop closed about a tendon to be anchored to the bone. Closing the loops additionally deforms the anchor member so that it remains within the bone, thereby securing the tendon trapped in the loop to the bone without the use of a staple.

Systems and methods for fixating a graft in a bone tunnel are provided. In general, the system includes a tissue fixation device having a delivery configuration and a deployed configuration, at least one graft retention loop coupled to the tissue fixation device, and a drill pin having a sidewall surrounding a cavity at a proximal end of the pin and at least one longitudinally oriented opening in the sidewall in communication with the cavity, the cavity being configured to fully seat the tissue fixation device. The drill pin is configured to substantially contain therein the tissue fixation device when in the delivery configuration and to enable deployment of the tissue fixation device through the opening. Drill pins configured to contain a tissue fixation device are also provided.

Embodiments of the invention include implants, instruments, and methods for attaching or reattaching soft tissue (200, 2200) to a bone (100), that enable independent tensioning of multiple connectors such as sutures (60, 160, 2060, 2160) and enable redundant fixation between bone (100) and soft tissue (200, 2200). Some embodiments provide for improved accuracy of the placement of substantially parallel tunnels through which soft tissue (200, 2200) to bone (100) connectors such as sutures (60, 160, 2060, 2160) are passed.

Implants, devices, systems, and methods for achieving ligament fixation are disclosed. An implant is disclosed that includes a head member, a breakaway portion, and an anchor member. The anchor member may be coupled to the head member by the breakaway portion. The implant may be designed to fail in fatigue at the breakaway portion. The breakaway portion may thereby extend between a first end of the anchor member and a second end of the head member. The breakaway portion may comprise a circumferential groove. The groove may be configured to concentrate stress forces in situ such that a fatigue failure/fracture occurs at the groove. Insertion instruments for inserting an implant for ligament fixation are also disclosed. Methods of using an implant for achieving ligament fixation are also disclosed.

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.