Method of forming knotless double row construct with graft or patch fixed under repair site

A knotless method of attaching soft tissue to bone, comprising:

• providing a first medial row constructed with a first plurality of fixation devices, wherein each of the first plurality of fixation devices is a knotless fixation device provided with a flexible strand forming a flexible loop and two free limbs securely attached to the knotless fixation device;
• providing a second lateral row constructed with a second plurality of fixation devices;
• and
• passing at least one of the two free limbs through soft tissue and over a lateral portion of the soft tissue, and securing the at least one of the two free limbs at an opposite end in a hole in bone by the second plurality of fixation devices.

A method of fixation of soft tissue, comprising:

• providing a knotless fixation device having an anchor body and a tip with an eyelet, and a flexible strand passed through the eyelet;
• fixing the knotless fixation device in the bone by inserting the anchor body over the tip so that the flexible strand forms a flexible loop and two limbs attached to the loop, the flexible loop and the two limbs being securely attached to the tip of the knotless fixation device;
• passing a flexible elongated member through the flexible loop;
• securing one end of the flexible elongated member to an implant material to be implanted in the vicinity of soft tissue to be repaired;
• pulling on the other end of the flexible elongated material, through the soft tissue, to adjust the position of the implant material relative to the soft tissue;
• and
• passing the two limbs through the soft tissue and over a lateral portion of the soft tissue, and securing the two limbs with two different fixation devices without tying a knot.

A method of tissue fixation comprising:

• providing a first anchor and a second anchor in the proximity of a bone, wherein each of the first and second anchors comprises a length of an elongated flexible member attached to each of the first and second anchors;
• inserting the first and second anchors into first and second bone sockets so that each of the elongated flexible member forms a loop and two attached flexible legs extending from the loop, each loop being securely attached to the corresponding anchor;
• passing a suture strand through each of the first and second loops;
• securing one end of the suture stand to an implant material to be fixated;
• pulling on the other end of the suture strand to position the implant material relative to the first and second suture anchors;
• providing a plurality of bone sockets laterally displaced from the first and second bone sockets;
• passing the flexible legs over a portion of a tissue to be fixated and over the fixated implant material;
• and
• anchoring the flexible legs into the plurality of bone sockets without tying a knot and using a plurality of fixation devices, thereby providing tissue fixation.