A porous bone fixation device has a body including non-porous areas that provide superior long term fixation and osteointegration performance. The porous areas provide an in-growth surface in strategic sections such as the threaded section of the fixation device that allow substantially more contact area between in-growth surface and bone. The in-growth material is a network of interconnected porosity in a matrix of bio compatible, preferably titanium. Examples of bone fixation devices include bone screws, bone anchors, dental implants, and similar devices used to provide a fixation point in bone.