The INTRAFIX™ ADVANCE Tibial Fastener System is an implant system used for fixation of tissue including ligament, or tendon to bone during cruciate ligament reconstruction. Based on the Original INTRAFIX™ ACL Fixation System which has been used clinically since 1999, the INTRAFIX ADVANCE System implants and instruments have been designed for improved reliability, simplicity, and speed while maintaining the biomechanical performance the surgeons expect.