Patent ID: 8771316

Claim:
A method of coupling a first portion of an anatomy to a second portion of the anatomy comprising: forming a first bore in a first bone of the anatomy; forming a second bore in a second bone of the anatomy; coupling the first and second bones with a bone-tendon-bone implant, wherein the bone-tendon-bone implant has a first bone end, a second bone end and a replacement tendon between the first and second bone ends; positioning the first bone end in the first bore; securing the first bone end with a first anchor in the first bone; positioning the second bone end in the second bore; passing a second anchor coupled to the bone-tendon-bone implant through and outside the second bore, the second anchor coupled to an adjustable suture construct having a first end and a second end; and tensioning at least one of the first end and the second end of the adjustable suture construct to tension the replacement tendon and position the first bone relative to the second bone; wherein the adjustable suture construct includes a passage portion defined by a body of a suture used to form the adjustable suture construct and first and second adjustable loops slidable relative to the passage portion to adjust a size of the first and second adjustable loops and tension the replacement tendon.