Devices and methods for tendon to bone healing are disclosed. In one embodiment, a tendon fixation method for tendon to bone healing includes anchoring suture anchors to a bone region. Sutures may be securely engaged to associated suture anchors and the sutures may be fastened to a fixation device. The fixation device may include a base with a plurality of openings to securely receive the sutures and one or more fastening members and/or fastening surfaces. The fixation device may be secured to a tendon thereby increasing a resistance to rotation or axial motion. In this respect, the contact area between the tendon and the bone region may be increased such that a compression force may be evenly distributed from the base of the fixation device along a tendon region of the tendon. In one embodiment, a plurality of elongate fastening members can be removably inserted through the opening until perforating a predetermined depth of the subchondral bone region and being stopped at the predetermined depth by contacting an upper surface of the base.
