Disclosed herein is processed dermis graft for use in orthopedic surgical
procedures. Specifically exemplified herein is a processed dermis graft comprising
one or more bone blocks having a groove cut into the surface thereof, wherein said
groove is sufficient to accommodate a fixation screw. Also disclosed is a method
of processing dermis that results in a dermis derived implant suitable to replace
a tendon or ligament in a recipient in need thereof. Other compositions and applications
of a dermis derived implant, and methods of manufacture and use, are disclosed.