TENODESIS FIXATION DEVICE

1 . A surgical fixation device, comprising:

a pronged upper portion having two or more arms extending proximally therefrom to a top surface of the upper portion, each of the two or more arms comprising a side of the upper portion;

wherein the sides of at least two of the two or more arms are opposing sides;

a flange extending outwardly around each of the opposing sides; and

a pronged lower portion having two or more legs extending distally therefrom with a space between at least two of the two or more legs.

2 . The device of claim 1 , wherein the flange is between the top surface and the lower portion.

3 . The device of claim 1 , wherein each of the two or more legs terminates in a sharp edge.

4 . The device of claim 1 , wherein the upper portion is wider than the lower portion.

5 . The device of claim 1 , further comprising a slot extending through the top surface of the upper portion, separating the two of the two or more arms.

6 . The device of claim 1 , further comprising at least one relief feature on a side of the upper portion adjacent to at least one of the two or more arms.

7 . A surgical fixation device, comprising:

a pronged lower portion having two or more legs extending distally therefrom with a space between at least two of the two or more legs;

an upper portion having a top surface and two or more sides;

wherein at least two of the two or more sides having a first slot extending therebetween; and

a central aperture extending into the top surface of the upper portion and through the lower portion.

8 . The device of claim 7 , further comprising one or more ribs extending around the two or more sides of the upper portion.

9 . The device of claim 8 , wherein the one or more ribs each extend in a plane substantially parallel to the top surface of the upper portion.

10 . The device of claim 7 , wherein the first slot extends across the top surface between one of the two or more sides and the central aperture.

11 . The device of claim 7 , further comprising a second slot extending across the top surface between another of the two or more sides and the central aperture.

12 . The device of claim 7 , further comprising an elongated recess extending into the top surface of the upper portion and across the central aperture.

13 . A surgical driver, comprising:

a handle having a body with a shaft extending distally therefrom;

a driver interface at a distal end of the shaft configured for attachment to a fixation device; and

a rotatable adjustment mechanism within the body of the handle.

14 . The surgical driver of claim 13 , further comprising one or more slits extending proximally from the distal end of the shaft along at least a portion of the shaft.

15 . The surgical driver of claim 13 , wherein the adjustment mechanism comprises a spooling wheel within a recess in the body of the handle.

16 . The surgical driver of claim 15 , further comprising a slot at or near a proximal end of the body of the handle extending to the recess.

17 . The surgical driver of claim 15 , further comprising a slot extending through a top surface of the spooling wheel.

18 . The surgical driver of claim 13 , further comprising a compartment within the body of the handle.

19 . The surgical driver of claim 18 , further comprising a movable cover attached to the body of the handle, wherein in an open position, the cover exposes the compartment and in a closed position, the cover conceals the compartment.

20 . The surgical driver of claim 19 , wherein the cover is rotatable away from the body of the handle.

21 . The surgical driver of claim 19 , wherein the cover is slidable along the body of the handle.