Method and apparatus for sternal closure

An apparatus for securing a fractured or sectioned sternum in a patient's body, comprising:

• an attachment member having a flexible member holder;
• and
• an adjustable flexible member construct having a body extending from a first end to a second end and defining a first passage portion and a second passage portion spaced apart from each other by a connecting portion of the adjustable flexible member construct, the first end extending into and through the second passage portion and into and through the first passage portion to form a first adjustable loop, the second end extending into and through the first passage portion and into and through the second passage portion to form a second adjustable loop;
• wherein the attachment member is configured to be coupled to the first and second adjustable loops;
• wherein the first and second ends are passed through both the first passage portion in opposite directions and the second passage portion in opposite directions;
• wherein each of the first and second passage portions includes at least first and second openings associated with the respective passage portion, where the first and second ends are passed through each of the first and second openings associated with the first and second passage portions.

An apparatus for securing a fractured or sectioned sternum in a patient's body, comprising:

• an adjustable flexible member construct having a body extending from a first end to a second end, the adjustable flexible member construct includes at least one passage portion, the first and second ends being passed into and through the at least one passage portion via at least first and second openings associated with the at least one passage portion of the adjustable flexible member construct to form a first adjustable loop and a second adjustable loop;
• an attachment member defining an aperture, the first and second adjustable loops passed through the aperture to slidably couple the attachment member thereto;
• and
• a tensioning member coupled to the first and second ends of the adjustable flexible member construct;
• wherein the tensioning member is configured to tension the first and second ends of the adjustable flexible member construct to adjust a size of the first and second loops of the adjustable flexible member construct relative to the attachment member.