A suture button apparatus is described that comprises a first button, a plate, a second button and a set of sutures. The first button includes a tubular wall that includes a proximal end portion and an opposed distal end portion that define a central longitudinal axis. An inner surface of the tubular wall defines an aperture aligned with the central longitudinal axis and an outer surface of the tubular wall includes threads. The plate defines at least one aperture that receives and connects with the first button. The set of sutures connect the first button and the second button. A bar connects to the inner surface of the tubular wall and includes a fixation mechanism for the fixing of the position of the set of sutures. The suture button apparatus has a position for treatment that includes the first button in the connected position in the aperture of the plate and the proximal terminal end of the first button is at least flush with the plate. The set of sutures connect the first and second buttons. The fixation mechanism of the bar connects the set of sutures and first button and fixes the set of sutures relative to the first button.