Multiple anchor tension adjustment system and method

An orthopedic attachment system having a proximal end and a distal end, the system comprising;

• a flexible connector comprising an elongate member having a fixed end at the distal end of the orthopedic attachment system and a tensioning end, wherein the tensioning end passes through the fixed end forming three connections to the fixed end;
• a first connection of the three connections comprising a sliding axial connection, a sliding loop at the proximal end of the orthopedic attachment system formed by the sliding axial connection of the tensioning end through the fixed end, the tensioning end entering at a proximal entering location on the fixed end and exiting at a distal exiting location on the fixed end,
• a second connection of the three connections comprising a distal transverse sliding connection at the distal end of the orthopedic attachment system, the distal transverse sliding connection formed by the tensioning end passing transversely through the fixed end in a first direction,
• a third connection of the three connections comprising a locking sliding connection at a location along the flexible connector between the distal transverse sliding connection and the sliding axial connection, the locking sliding connection formed by the tensioning end passing transversely through the fixed end in a second direction counter to the first direction;
• wherein the orthopedic attachment system further comprises a sliding loop bone anchor connected to the sliding loop, a fixed end anchor connected to the fixed end, and the tensioning end being slidably connected and lockable to the fixed end;
• wherein upon tension being applied to the tensioning end, a portion of the fixed end between the distal transverse sliding connection and the locking sliding connection is configured to be drawn toward the distal exiting location of the sliding axial connection to form a knot and to secure the orthopedic attachment system in position.