Soft tissue implant systems, instruments and related methods

A bone and/or tissue joining implant system, comprising:

• a first anchor tube comprising an annular first side wall defining a first internal cavity, a first longitudinal end and a second longitudinal end;
• a second anchor tube comprising an annular second side wall defining a second internal cavity, a first longitudinal end and a second longitudinal end;
• and
• at least one suture that passes through the first side wall a plurality of times and through the second side wall a plurality of times,
• wherein the at least one suture extends along a pattern as it extends through the first and second anchor tubes that is configured such that the pattern prevents the second anchor tube from translating along the at least one suture, and allows the first anchor tube to translate along the at least one suture toward the second anchor tube, when a first end portion and a second end portion of the at least one suture are tensioned and the second anchor tube is deformed,
• wherein the pattern of the at least one suture comprises a first intermediate portion of the at least one suture that extends from the first side wall of the first anchor tube to a first portion of the second side wall of the second anchor tube, a second intermediate portion of the at least one suture that extends from a third portion of the second side wall of the second anchor tube to the first side wall of the first anchor tube, and a loop that extends from the second side wall of the second anchor tube between second and fourth portions of the second side wall,
• wherein the first portion of the second side wall is positioned proximate to the first longitudinal of the second anchor tube, the third portion of the second side wall is positioned proximate to the second longitudinal of the second anchor tube, and the second and fourth portions of the second side wall are positioned longitudinally between first and third portions of the second side wall,
• wherein the loop does not extend through the first anchor tube, and
• wherein the loop of the at least one suture extends around the first and second intermediate portions of the at least one suture.