Anatomic Soft Tissue Repair

A method for repairing soft tissue comprising:

• inserting a first guide wire in a bone to define a first bone hole;
• inserting a second guide wire in the bone proximate to the first guide wire to define a second bone hole proximate to the first bone hole;
• enlarging a proximal portion of each of the first bone hole and the second bone hole such that the proximal portions of the first and the second bone holes are connected;
• positioning a first anchor of a first suture construct at a distal end of the first bone hole, and positioning a second anchor of a second suture construct at a distal end of the second bone hole;
• connecting a first suture of the first suture construct to a first portion of soft tissue, and connecting a second suture of the second suture construct to a second portion of soft tissue;
• and
• drawing the first and second portions of soft tissue into the proximal portions of each of the first and second bone holes by pulling a first end of the first suture construct to close a first loop of the first suture construct, and by pulling a second end of the second suture construct to close a second loop of the second suture construct;
• wherein the first and the second portions of soft tissue are portions of separate pieces of tissue or portions of a single piece of tissue.

A system for repairing soft tissue comprising:

• a chisel defining a first guide bore and a second guide bore, and including a chisel tip shaped to provide bone with a shape approximating a cross-sectional shape of soft tissue;
• a first suture construct including a first anchor, a pair of first ends, a first loop, and a first needle;
• and
• a second suture construct including a second anchor, a pair of second ends, a second loop, and a second needle;
• wherein:
• the chisel is configured to receive through the first guide bore a first guide wire inserted into bone to form a first bone hole, and receive through the second guide bore a second guide wire inserted into bone to form a second bone hole, the first and the second bone holes configured to be connected by reaming;
• the first anchor of the first suture construct is configured to be implanted in bone upon being inserted through the first guide bore and the first bone hole;
• the second anchor of the second suture construct is configured to be implanted in bone upon being inserted through the second guide bore and the second bone hole;
• and
• the first and the second suture constructs are configured such that pulling the pair of first ends and the pair of second ends closes the first loop and the second loop respectively and pulls the soft tissue into the bone shaped by the chisel when the first and the second suture constructs are connected to the soft tissue.

A method for repairing soft tissue comprising:

• forming a bone hole extending through a first cortical bone layer, a cancellous bone layer, and a second cortical bone layer on a side of the cancellous bone layer opposite to the first cortical bone layer;
• expanding a diameter of the formed bone hole at the first cortical bone layer and the cancellous bone layer only;
• positioning a first anchor of a first suture construct at a distal end of the bone hole beyond the second cortical bone layer;
• positioning a second anchor of a second suture construct at a distal end of the bone hole beyond the second cortical bone layer;
• connecting the first and the second suture constructs to soft tissue;
• drawing the soft tissue into the bone hole by pulling a first end of the first suture construct and by pulling a second end of the second suture construct.