| CPC A61F 2/0811 (2013.01) [A61B 17/0401 (2013.01); A61B 2017/0404 (2013.01); A61B 2017/0412 (2013.01); A61B 2017/0448 (2013.01); A61B 2017/0464 (2013.01); A61F 2002/0829 (2013.01); A61F 2002/087 (2013.01); A61F 2002/0882 (2013.01)] | 24 Claims |

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1. A system for coupling a tendon to a bone comprising:
a tendon coupling device comprising a tendon-facing surface engageable with the tendon;
a fastener configured to secure the tendon to the tendon coupling device;
a flexible element comprising:
a first portion; and
a second portion;
wherein the first portion of the flexible element is couplable with the fastener to securably attach the flexible element to the tendon; and
a bone coupling device comprising:
a bone-facing surface engageable with a surface of the bone proximate a bone tunnel formed through the bone;
an opposing surface, opposite the bone-facing surface; and
a hole formed through the bone coupling device intermediate and passing through the bone-facing surface and the opposing surface of the bone coupling device;
wherein the fastener is configured to pass through the tendon coupling device to secure the tendon coupling device to the tendon; and
wherein the second portion of the flexible element is receivable through the bone tunnel and the hole to engage the opposing surface of the bone coupling device and securably couple the tendon to the bone.
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