Apparatus for tissue graft fixation. A tissue graft fixation device includes a main body part (15) provided with a pair of suture through holes (20 25) positioned on opposite sides of a spherically radiused screw through hole (30) the pair of suture through holes sized to receive sutures the spherically radiused screw through hole sized to receive a radiused head of a securing screw and two spike parts (35 40) extending substantially parallel to each other from an underside of the main body the spike parts spaced apart at a predetermined distance slightly shorter than a diameter of a formed bone tunnel and adapted be stricken into a bone.
