A device for fixing the positions of proximate bone elements including an inter-bone implant adapted to be implanted between suitably prepared proximate bone elements, the inter-bone implant having an internally threaded aperture, a bone fixation apparatus including a base having an eyelet and a means connected to the base for mechanically fixing the positions of the proximate bone elements relative to each other, the eyelet being substantially aligned with the internally threaded aperture, and a screw having a head and a threaded shaft extending therefrom, wherein the shaft is operatively arranged to extend through the eyelet and threadingly engage the internally threaded aperture, and the screw is operatively arranged to secure the bone fixation apparatus to the inter-bone implant.