An innovative bone anchor and methods for securing soft tissue, such as
tendons, to bone, which permit a suture attachment that lies entirely
beneath the cortical bone surface. Advantageously, the suturing material
between the soft tissue and the bone anchor is secured without the need
for tying a knot. The suture attachment to the bone anchor involves the
looping of a length of suture around a pulley within the bone anchor,
tightening the suture and attached soft tissue, and compressing the
suture against the bone anchor. The bone anchor may be a tubular body
having a lumen with a locking plug that compresses the suture therein.
The pulley may be a pin located near a distal end of the tubular body
around which the length of suture is looped. Alternatively, a pulley may
be a bridge portion of the tubular body between two spaced apertures in
the wall of the body. The locking plug may include a shaft and an
enlarged head that interferes with the tubular body to provide a positive
stop. An actuation rod attached at a frangible section to the shaft may
be manipulated by an external handle during locking of the suture within
the bone anchor. The bone anchor further may include locking structure
for securing itself within a bone cavity.