Near bone suture button

A system comprising:

• a first suture button or anchor;
• a second suture button coupled by suture to the first suture button or anchor, the second suture button including:
• a head having a top surface, a bottom surface, and a first opening extending through the head from the top surface to the bottom surface;
• a pulley peg elongated from a first end to a second end, the first and second ends each connected to the bottom surface of the head to form a second opening between the pulley peg and the bottom surface of the head;
• and
• a button inserter that deploys the first suture button or anchor and the second suture button,
• wherein a middle portion of the suture is positioned through the second opening,
• wherein each of the ends of the suture are positioned through the first opening, and
• wherein tensioning the ends of the suture causes tension between the first suture button or anchor and the second suture button after deployment from the button inserter.

A method of securing two bones to one another comprising:

• forming a bone hole through a first bone and a second bone;
• inserting, via a button inserter, a first suture button or anchor through the bone hole such that the first suture button or anchor exits on the other side of the bone hole, the first suture button or anchor coupled by suture to a pulley peg of a second suture button, the second suture button including:
• a head having a top surface, a bottom surface, and a first opening extending through the head from the top surface to the bottom surface;
• and
• the pulley peg elongated from a first end to a second end, the first and second ends each connected to or integral with the bottom surface of the head so as to form a second opening between the pulley peg and the bottom surface of the head,
• wherein a middle portion of the suture is positioned through the second opening, and
• wherein the ends of the suture are positioned through the first opening;
• deploying the first suture button or anchor and the second suture button from the button inserter;
• tensioning the ends of the suture such that the first suture button or anchor contacts the second bone and the second suture button contacts the first bone;
• and
• securing the suture.