The invention relates to a medical implant (1), comprising at least a first cortical fixation device (200) for fixing a ligament or tendon graft (G) in a desired position, wherein said first cortical fixation device (200) comprises a body (201) having a front side (201a) and a rear side (201b), which rear side (201b) faces away from the front side (201a), and wherein said body (201) comprises a first and an adjacent second through-hole (210, 211), which through-holes (210, 211) extend from the front side (201a) to the rear side (201b) of said body. According to the invention the medical implant (1) further comprises a first suture thread (100) extending through the through-holes (210, 211) and forming a twisted loop (104) and a non-twisted loop (105) on the front side (201a) of the body (201), and a sliding knot (108) on the rear side (201b) of the body (201), and wherein the medical implant (1) comprises a second suture thread (300) extending through the sliding knot (108).
