Methods of making reinforced soft tissue grafts with suture loop/needle constructs

1. A method of reinforcing a biological construct, comprising:

attaching a suture loop/needle construct to a reinforcement material;

stitching the reinforcement material to the biological construct to form a reinforced biological construct, the reinforcement material attached to the suture loop/needle construct prior to approximating the reinforcement material to the biological construct, wherein stitching the reinforcement material includes whipstitching the reinforcement material to an end of the biological construct; and

wherein the whipstitching includes:

passing the suture loop/needle construct through the reinforcement material and the end multiple times to create multiple stitches in the reinforcement material and the end; and

after the last pass of the suture loop/needle construct through the end, passing one limb of a continuous suture loop of the suture loop/needle construct through each side of the biological construct.

2. The method of claim 1 , wherein the suture/loop needle construct comprises a needle attached to the continuous suture loop.

3. The method of claim 2 , wherein the needle is a free floating needle.

4. The method of claim 1 , wherein the reinforcement material is selected from the group consisting of a suture, a tape, a suture tape, a weave, a mesh, and combinations thereof.

5. The method of claim 4 , wherein the reinforcement material is absorbable.

6. The method of claim 1 , comprising attaching at least one fixation device to the reinforced biological construct.

7. The method of claim 6 , wherein the at least one fixation device is a knotless, self-locking, adjustable construct formed of a button/loop construct having a button and a flexible, adjustable loop connected to the button, the flexible, adjustable loop having an adjustable length, the flexible, adjustable loop having two ends, two splices and two adjustable independently-formed loops that are interconnected.

8. The method of claim 1 , comprising attaching the reinforced biological construct to a suture loop/button construct.

9. The method of claim 8 , wherein attaching the reinforced biological construct to the suture loop/button construct includes looping the reinforced biological construct over a suture loop of the suture loop/button construct.

10. The method of claim 1 , wherein the continuous suture loop is fixedly attached to the reinforcement material.

11. The method of claim 10 , wherein the continuous suture loop of the suture loop/needle construct is swedged to the reinforcement material.

12. The method of claim 10 , wherein the continuous suture loop of the suture loop/needle construct is knotted to the reinforcement material.

13. The method of claim 1 , comprising aligning a distal edge of a distal end of the reinforcement material to be even with a distal edge of a distal end of the biological construct prior to whipstitching the reinforcement material to the biological construct.

14. The method of claim 1 , comprising connecting the reinforcement material to a fixation device prior to whipstitching the reinforcement material to the biological construct.

15. The method of claim 1 , comprising disposing the reinforcement material over top of the biological construct including positioning the reinforcement material against an outer surface of the biological construct.

16. The method of claim 15 , comprising clamping the reinforcement material to the biological construct after disposing the reinforcement material over the biological construct.

17. The method of claim 16 , wherein the reinforcement material is clamped to the biological construct prior to stitching the reinforcement material to the biological construct.

18. The method of claim 1 , comprising holding a distal edge of the reinforcement material in abutting contact with a distal edge of the biological construct during the stitching.