Suture construct for joint tissue closure

A method for securing tissue with a suture construct, the method comprising:

• passing one of a fixed tail and a sliding tail of a working suture of a suture construct through or around a tissue, the working suture having a length extending from the fixed tail to the sliding tail;
• engaging the sliding tail of the working suture to a first end of a shuttle, the shuttle including a shuttle tail extending from the first end, a first portion of the shuttle tail extending through a first hollow portion of the working suture and a second portion of the shuttle tail separated from the first end by the first portion passing through a tucked loop of a tucked suture, a portion of a tucked tail of the tucked suture extending through a second hollow portion of the working suture, the second hollow portion being further from the fixed tail than the first hollow portion;
• and
• pulling a second end of the shuttle opposite the first end of the shuttle to bring the sliding tail of the working suture through the first hollow portion of the working suture and through the tucked loop of the tucked suture,
• wherein once the sliding tail is sufficiently tensioned through the pulling step, a knotless fixation region is provided at the first hollow portion and the tucked loop is cinched.

A kit for securing tissue, the kit comprising:

• a working suture including a fixed tail at a first end and a sliding tail at a second end opposite from the first end, wherein the working suture defines a first hollow portion, a second hollow portion, a first entry opening, an exit opening, and a second entry opening, wherein the first hollow portion extends from the first entry opening to the exit opening, and the second hollow portion is positioned closer to the sliding tail than the first hollow portion;
• a tucked suture including a tucked loop and a tucked tail extending from the tucked loop, wherein at least a portion of the tucked tail is disposed within the second hollow portion of the working suture via the second opening;
• a shuttle extending through the first hollow portion and the tucked loop;
• and
• a suture attachment, the suture attachment configured to couple at least one of the fixed tail and the sliding tail in a first, pre-deployment configuration and de-couple the at least one of the fixed tail and the sliding tail in a second, deployment configuration,
• wherein the sliding tail is configured to be shuttled through the first hollow portion and the tucked loop via the shuttle, wherein the first hollow portion is configured to provide a finger trap with the sliding tail shuttled through the first hollow portion and the tucked loop.