A sacro-iliac implant includes an inner member having an inner surface and an outer surface. The inner member extends between a first end and a second end configured for penetrating a sacrum. An outer member extends between a first end including a flange and being configured to engage an outer non-articular surface of an ilium and a second end. The inner member is rotatable relative to the outer member such that the outer surface of the inner member adjacent its first end engages the outer member to cause axial translation of the inner member relative to the outer member in a configuration such that separated articular surfaces of the sacrum and the ilium are drawn into fixation. Systems and methods of use are disclosed.
