Abstract: Tissue repair systems and methods are provided for reducing and fixating tissue to bone. The proposed systems and methods utilize one or more suture anchors and one or more surgical buttons for reducing and fixating the tissue to the bone. Additional suture anchors may be used as part of a multi-row fixation technique for providing a desired area of footprint compression over top of the tissue.

Abstract: This disclosure details a plate assembly for use with a tissue compression system and corresponding methods. In an example system, the system includes include a press and a plate assembly. The plate assembly includes a first plate defining a cavity configured to receive harvested tissue and a second plate including a projection insertable into the cavity. The press is configured to apply pressure to the plate assembly to compress the harvested tissue. The plate assembly is configured to hold the harvested tissue under compression when the plate assembly is removed from the press.

Abstract: Soft anchor constructs and methods for soft tissue to bone repairs. The soft anchors may be knotted or knotless constructs. The soft anchors include a body formed of various soft materials (including, but not limited to, suture) and provided in various shapes and configurations that confer the anchors the ability to be easily inserted within bone tunnels or sockets and be bunched up within the bone tunnels or sockets. At least one closed loop or soft eyelet is attached to the soft anchor to allow additional sliding strands and/or shuttle/pull devices (suture passing devices) to pass through the eyelet and aid in the knotted or knotless fixation of tissue to bone.

Abstract: A method of tissue repair that includes installing a surgical construct in a bone hole. The surgical construct has a fixation device that is preloaded with a primary flexible strand. After installing the surgical construct in the bone hole, the method includes coupling at least one secondary flexible strand to the primary flexible strand for subsequent use in repairing the tissue.

Abstract: Adjustable tissue repair systems and methods are provided for reducing and fixating tissue to bone. The proposed systems and methods utilize two or more suture anchors and one or more adjustable suture loops for reducing and fixating the tissue to the bone. The suture anchors may be positioned as part of a multi-row fixation technique for providing a desired area of footprint compression over top of the tissue.

Abstract: Surgical anchor constructs, fixation devices, and methods of manufacturing, as well as methods for tissue repairs are disclosed. A soft suture anchor has a sheath with varying densities along the length of the sheath. The anchor sheath can have different segments with different densities which can be provided in a pattern or a random manner. The segments with different densities allow secure fixation of the soft anchor within bone, and attachment of first tissue to second tissue.

Abstract: Surgical constructs, assemblies, kits and methods of tissue fixation are disclosed. Glenoid augmentation is conducted with one or more soft tissue grafts placed on the anterior glenoid to fill a glenoid defect. Knotted or knotless suture anchors can deliver and fixate the soft tissue graft within the glenoid bone defect. Suture anchors can also secure the native ligament to the soft tissue graft and provide stability to the shoulder joint. Soft suture anchors can deliver and fixate a soft tissue graft within the bone defect. The native soft tissue can be repaired over top of the soft tissue graft into its anatomical position.

Abstract: A knotless tensionable fixation system may be utilized for performing surgical methods for repairing tissue defects within a joint. An exemplary surgical method may include fixating a graft over top of the tissue defect with the knotless tensionable knotless fixation system. The knotless tensionable fixation system may include a plurality of knotless suture anchors, the graft, and a reinforcement construct. The reinforcement construct may establish a fixed segment of material over the graft after being secured in place by the plurality of knotless suture anchors.

Abstract: Reinforced surgical constructs and methods of reinforced anchor fixation in bone, as well as associated surgical repairs are disclosed. A reinforcement (anchoring device) is loaded onto a fixation device. The fixation device can be a knotless fixation device such as a hard-body anchor, or a knotless soft anchor such as an all-suture knotless anchor. The reinforcement can consist of an anchoring device that integrates with the fixation device, to improve and aid the fixation of the device into an existing tissue hole.

Abstract: Surgical elastic constructs, assemblies, and methods of manufacturing, as well as methods for tissue repairs are disclosed. An elastic suture includes an elastic component to allow for knotless suture constructs and eliminate the need to tie knots as needed with standard suture. The elastic suture can include a silicon core and a polyester/UHMWPE jacket. The elastic suture can have a non-regular braid, weave, or knit pattern. The elastic suture can be manufactured with varying and controlled elasticity based on a particular application.

Abstract: A method of tissue repair that includes installing a surgical construct in a bone hole. The surgical construct has a fixation device that is preloaded with a primary flexible strand. After installing the surgical construct in the bone hole, the method includes coupling at least one secondary flexible strand to the primary flexible strand for subsequent use in repairing the tissue.

Abstract: A knotless tensionable fixation system may be utilized for performing surgical methods for repairing tissue defects within a joint. An exemplary surgical method may include fixating a graft over top of the tissue defect with the knotless tensionable knotless fixation system. The knotless tensionable fixation system may include a plurality of knotless suture anchors, the graft, and a reinforcement construct. The reinforcement construct may establish a fixed segment of material over the graft after being secured in place by the plurality of knotless suture anchors.

Abstract: A graft includes a biological graft. An embroidered textile supports the biological graft. Sutures attach the biological graft and the embroidered textile together.

Abstract: Methods for tissue repairs with mattress stitch are disclosed. A mattress stitch is created with a suture passer and a suturing construct using only one portal and without shuttling steps. The suture passer is provided with two sharp teeth or tines that pierce tissue (or tissue and associated graft) at two different locations. The suturing construct can be a loop terminating in a tail. The tail is passed from one tooth to another and then secured into a securing mechanism of one of the two sharp teeth. The tail is passed through the loop to form a cinch loop around and through the tissue (or the tissue and the graft).

Abstract: Reinforced surgical constructs and methods of tissue repairs. A surgical construct can offer both repair and shuttling capabilities to allow for a single pass to load multiple sutures at once. A surgical construct includes one or more repair sutures provided with one or more junctions (one or more releasable stitches), to allow the repair sutures to be joined and subsequently released. At least one of the one or more junctions (releasable stitches) can be formed by weaving back and forth another flexible strand (releasing suture) through the one or more repair sutures. When the flexible strand is pulled, it pulls out the one or more junctions (releasable stitches) from the repair sutures, freeing the repair sutures. The surgical construct may be part of a knotless or knotted construct.

Abstract: Surgical constructs, assemblies, and methods for rotator cuff reinforcement are disclosed. Side tissue of a reconstructed rotator cuff is secured with at least one flexible coupler and at least one fixation device secured to bone.

Abstract: A suture anchor for tissue repair that has a proximal section and a main section where the proximal and main sections are formed of different materials. The proximal section is formed of a material that promotes in-growth from the surrounding tissue.

Abstract: Surgical constructs, assemblies, and methods for tissue repairs are disclosed. A surgical construct can include a fixation device with a sliding flexible coupler and a covering for the flexible coupler. The covering includes a hollow portion adjacent a tail portion. Limbs of the flexible coupler are secured within the hollow portion. The tail portion of the covering is passed through tissue such that the hollow portion along with the limbs of the sliding flexible coupler are passed through the tissue simultaneously.

Abstract: A graft includes a biological graft. An embroidered textile supports the biological graft. Sutures attach the biological graft and the embroidered textile together.

Abstract: Knotless surgical constructs and methods of tissue repairs. A surgical construct can offer both repair and shuttling capabilities to allow for a single pass to load multiple sutures at once. A surgical construct can pass or shuttle multiple repair sutures while making a single pass through or around soft tissue.