Method and apparatus for fracture fixation

A method for supporting a first bone portion and a second bone portion, comprising:

• aligning the first bone portion relative to the second bone portion;
• forming a first bore extending through the first bone portion and the second bone portion through a void defined by opposing surfaces of the first and second bone portions;
• forming a second bore extending through the first bone portion and the second bone portion through the void at an angle relative to the first bore;
• disposing a first pin in the first bore to span the void;
• disposing a second pin in the second bore to span the void;
• selecting a coupler of one of the first pin or the second pin to receive a self-locking, adjustable suture construct;
• drawing the suture construct through the first bone portion and the second bone portion by withdrawing the selected one of the first pin and the second pin from the respective one of the first bore and the second bore;
• and
• compressing the first bone portion and the second bone portion between a first anchor and a second anchor coupled to the suture construct by tensioning the suture construct,
• wherein the selecting of the coupler includes selecting the coupler based on a location of the one of the first pin and the second pin relative to an articulation surface.

A method for supporting a first bone fragment and a second bone fragment, comprising:

• aligning the first bone fragment relative to the second bone fragment;
• forming a first bore, a second bore, and a third bore through the first bone fragment and the second bone fragment through a void defined by opposing fracture surfaces of the first and second bone fragments, wherein the first bore extends through an articulating surface;
• disposing a first pin, a second pin, and a third pin in the first bore, the second bore, and the third bore respectively, wherein each of the first, second, and third pins spans the void and together, the first, second, and third pins lock the first and second bone fragments in an aligned position;
• drawing a self-locking, adjustable suture construct coupled to the first pin through the first bore by withdrawing the first pin from the first bore;
• and
• compressing the first bone fragment and the second bone fragment between a first anchor and a second anchor coupled to the suture construct by tensioning the suture construct,
• wherein in elevational view, each of the first, second, and third bores intersects a remaining two of the first, second, and third bores so that together, the first, second, and third bores define a triangular region that intersects the void.

A method for supporting a first bone portion relative to a second bone portion, comprising:

• aligning the first bone portion relative to the second bone portion;
• forming a bore extending through the first bone portion and the second bone portion through a void defined by opposing surfaces of the first and second bone portions after the aligning of the first bone portion with the second bone portion;
• disposing a pin in the bore to span the void, wherein the pin includes a coupler;
• drawing a self-locking, adjustable suture construct coupled to the coupler through the bore by withdrawing the pin from the bore;
• and
• compressing the first bone portion and the second bone portion between a first anchor and a second anchor coupled to the suture construct by tensioning the suture construct,
• wherein the suture construct includes:
• a braided body defining a passage portion, a first aperture, and a second aperture;
• a first strand extending from the braided body and having a first end passing through the first aperture into the passage portion and out the second aperture to create a self-locking adjustable first loop;
• and
• a second strand extending from the braided body and having a second end passing through the second aperture into the passage portion and out the first aperture to create a self-locking adjustable second loop.

A method for supporting a first bone portion and a second bone portion, comprising:

• aligning the first bone portion relative to the second bone portion;
• forming a first bore extending through the first bone portion and the second bone portion through a void defined by opposing surfaces of the first and second bone portions;
• forming a second bore extending through the first bone portion and the second bone portion through the void at an angle relative to the first bore;
• disposing a first pin in the first bore to span the void;
• disposing a second pin in the second bore to span the void;
• selecting a coupler of one of the first pin or the second pin to receive a self-locking, adjustable suture construct;
• drawing the suture construct through the first bone portion and the second bone portion by withdrawing the selected one of the first pin and the second pin from the respective one of the first bore and the second bore;
• and
• compressing the first bone portion and the second bone portion between a first anchor and a second anchor coupled to the suture construct by tensioning the suture construct,
• wherein the selecting of the coupler includes selecting the coupler based on an orientation of the one of the first pin and the second pin relative to the opposing surfaces of the first and second bone portions defining the void.