The present invention has multiple aspects relating to assembled self
fixing bone-tendon-bone (BTB) grafts and BTB implants. A preferred
application in which self fixing assembled bone-tendon-bone (BTB) grafts
and implants of the present technology can be used is for ACL repairs in
a human patient. In one embodiment, a self fixing BTB graft is
characterized by the presence of threads along at least a portion of the
exterior surface of one or both bone blocks. In another embodiment, a
self fixing assembled bone-tendon-bone implant comprises a removable
tendon tensioner which imparts a predetermined tension on the tendon of
the BTB graft.