A method of revising a graft in a bone tunnel including unpinning a graft ligament support block from within a bone tunnel in a host bone, withdrawing the graft ligament support block from the bone tunnel to create a vacated bone tunnel, advancing a graft ligament support block into the vacated bone tunnel, and pinning the graft ligament support block within the bone tunnel. In one embodiment, the graft ligament support block includes a body having a graft hole and a transverse fixation pin hole extending through the body. The graft hole and the transverse fixation pin hole extend substantially perpendicular to the longitudinal axis of the body. An installation tool can be provided for inserting the graft ligament support block into the bone tunnel.
