A bone fixation system has a bone implant with an implant body. The implant body defines an upper surface, a bone-facing surface spaced from the upper surface along a transverse direction, and at least one aperture defined by an inner wall. A bone fixation element is configured for insertion at least partially through the aperture. The bone fixation element defines a proximal end and a distal end spaced from the proximal end along a central axis. The bone fixation element has a head and a shaft that extends relative to the head toward the distal end. The head defines a first ridge, a second ridge spaced from the first ridge, and a groove disposed between the first and second ridges. The groove can receive at least a portion of the inner wall to couple the bone fixation element to the bone implant.一種骨頭固定系統具有一骨頭植入物,該骨頭植入物含有一植入物主體。該植入物主體界定一上部表面;一面向骨頭表面,其沿一橫向方向而與該上部表面相間隔;及至少一孔隙,其藉由一內壁界定。一骨頭固定元件經組態用於至少部分插入穿過該孔隙。該骨頭固定元件界定一近端及一末梢端,該末梢端與該近端沿一中心軸相間隔。該骨頭固定元件具有一頭部及一軸件,該軸件相對於該頭部延伸朝向該末梢端。該頭部界定:一第一脊部;一第二脊部,其與該第一脊部相間隔;及一凹槽,其設置於該第一脊部與該第二脊部之間。該凹槽可接納該內壁之至少一部分,以耦合該骨頭固定元件至該骨頭植入物。