Method of forming a suture-button-graft combination and facilitating construct

An assembly for engaging a tendon graft to a button, comprising:

• a card holder;
• and
• a construct comprising:
• i. a button defining at least a first aperture and a second aperture;
• ii. a suture assembly, said suture assembly engaged to said button, said suture assembly including a suture having a first tail and a second tail;
• and
• iii. a shuttle assembly, said shuttle assembly comprising a first shuttle with a first shuttle loop and first shuttle tail, and a second shuttle with a second shuttle loop and a second shuttle tail;
• at least a portion of said first tail of said suture engaged with said card holder at a first location and at least a portion of said second tail of said suture engaged with said card holder at a second location, said first location is different than said second location.

A method of constructing a button, suture, and tendon graft combination, comprising:

• a) providing a tendon graft;
• b) providing a card holder;
• c) providing a construct, said construct engaged to said card holder, said construct comprising:
• i. a suture assembly, said suture assembly including a suture having a first tail and a second tail, at least a portion of said first tail of said suture engaged to said card holder at a first location and at least a portion of said second tail engaged to said card holder at a second location, said first location is different than said second location, said suture including at least one lumen;
• ii. a shuttle assembly, said shuttle assembly including a shuttle loop and a free end;
• d) engaging said suture assembly to said tendon graft;
• e) using said shuttle assembly to pull a portion of said suture assembly through said at least one lumen of said suture;
• and
• f) disengaging said construct from said card holder.