Abstract: The repair of torn tendon/ligament by anchoring the tendon to a anchor affixed to the bone is by a suture judiciously looped in the tissue to form a double strand holding the tending to cinch to the bone trough and securing the strand to and downstream of the anchor. This enhances the pull-out resistance of the suture from the tendon. The suture, secured by a knot or clamp, is at the end of the tendon and not under it so as to allow the surgeon to maintain constant apposition to the bone while the knot is being tied. The knot is in the bone trough and not over the tendon avoiding abrasion of the suture by other parts of the body. When the operation is done by arthroscopic surgery the ability for cinching the tissue down to the bone and assessing how tightly the tissue is apposed to the bone and tying the knot while maintaining secure apposition of the tendon to the bone is improved.

Abstract: A clamp for securing suture made from a main body that is generally a planar member that is configured into a generally circular, oval, or triangular shape or the like, with the top edges located in juxtaposed position to define a gap that is smaller in width than the diameter of the suture. A slot formed on the bottom of the main body is sufficiently large to allow the passage of four strands of the suture to pass there through and defines a double loop around each side edge of the main body to uniformly absorb the loads imposed on the suture. The method includes threading the suture through the slot and then looping it back into the slot, drawing the suture to the side edges so that the surgeon can tighten the suture or slide the clamp to a desired position and then locking the suture by sliding each strand into the gap which may be serrated.