The spiked ligament staple is a titanium staple used to fasten and stabilize a ligament injury, such as a torn ACL or MCL. It is inserted with a staple holder and provide a simple means of attaching tissue to bone. Low-profile, wide staple base provides better load distribution. Spike-post leg design encourages uninterrupted vascular flow to the underlying tissue. Pronged implant provide superior pull out strength. The staple also reduces the risk of motion of the ligament and helps protect it as it heals. Fixation staples are available in three sizes. It is available in a sterile and non-sterile pack.