A helicoil interference fixation system comprising:a helicoil comprising a helical body comprising a plurality of turns separated by spaces therebetween, the helical body terminating in a proximal end and a distal end, and at least one internal strut extending between at least two turns of the helical body; andan inserter for turning the helicoil, the inserter comprising at least one groove for receiving the at least one strut;the helicoil being mounted on the inserter such tin at the at least one strut of the helicoil is mounted in the: at least one groove of the inserter, such that rotation of the inserter causes rotation of the helicoil.