Method of Forming a Suture-Button-Graft Combination and Facilitating Construct

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

• a) providing a tendon graft, having a first end;
• b) providing a construct having:
• i. an oblong button defining at least a first aperture and a second aperture and having a first side and a second side;
• ii. a suture length, including a braid defining a lumen and having a middle section on said first side of said button and a first end section and a second end section, said first end section extending through said first aperture and said second end section extending through said second aperture, from said first side to said second side so that both said first end section and said second end section of said suture extend outwardly from said second side, said first end section terminating in a first end and said second end section terminating in a second end;
• iii. a first needle attached to said first end and a second needle attached to said second end of said suture length;
• and
• iv. a first and a second shuttle, each engaged to said suture length and each having a free end and a loop end, terminating in an end loop, said first shuttle entering said lumen in said middle section, at a first entrance point, and said second shuttle entering said lumen in said middle section at a second entrance point, said first shuttle extending though said first aperture, said loop end of said first shuttle extending out of said lumen at a first exit point and said loop end of said second shuttle extending out of said lumen at a second exit point;
• c) piercing said first end of said tendon graft with said first needle, in a first direction, and pulling said needle and a portion of said suture loop through said tendon graft;
• d) piercing said first end of said tendon graft with said second needle, in a second direction opposed to said first direction, and pulling said second needle and a portion of said suture loop through said tendon graft;
• e) cutting off said needles, thereby leaving a first suture free end and a second suture free end;
• f) engaging said first suture free end to said second shuttle end loop and pulling said second shuttle free end to pull said first suture free end through said lumen to exit from said lumen on said first side of said button;
• and
• g) engaging said second suture free end to said first shuttle end loop and pulling said first shuttle free end to pull said second suture free end through said lumen to exit from said lumen on said first side of said button.