A graft retainer device and method for substantially retaining a portion of a graft with respect to a bone of a patient. The device comprises a body and a retaining element for retaining a graft with respect to the body. A surgical screw fastener device can be use with the graft retainer device for pulling a graft through a tunnel defined in the bone. The graft can includes any one or more of the set comprising: a transplant tendon, an artificial tendon, a transplant ligament, and an artificial ligament.