One-handed and double row methods for tissue fixation

A method for affixing a soft tissue graft to a boney surface, said method comprising the steps of:

• a. providing the soft tissue graft characterized by a lateral edge and top and bottom surfaces;
• b. providing at least one elongate suture characterized by first and second segments;
• c. securing said first segment of said suture to said boney surface by means of a first implant inserted into said boney surface;
• d. positioning said soft tissue graft over said first implant;
• e. passing a first length of said suture that includes said second segment from said first implant over the top surface of said soft tissue graft, such that said second segment extends away from said first implant;
• f. preparing a socket in said boney surface at a predetermined location adjacent to said first implant either before or after step (e);
• g. establishing a desired tension in said first length of said suture that is sufficient to compress to the boney surface an area of the soft tissue graft that is disposed between said first implant and said predetermined location;
• and
• h. after said desired tension is established in accordance with step (g) and using only a second implant of one-piece construction, placing said second implant into said prepared socket so as to simultaneously fix the placement of said second segment of said suture and compress at least a portion of said first length of said suture between an outer surface of said second implant and a wall of said socket, whereby said desired tension in said first length of suture is maintained throughout step (g).