An implant for fixation of first and second bones having a body with first and second axially spaced ends and an outer surface at least nominally matched to a tapered surface around a receptacle formed by rotating a cutting element around an axis. As the body is advanced along the central axis into an operative position within the receptacle, the body outer surface and tapered surface cooperate to cause the central and second axes to consistently substantially align. A plurality of openings in the body each accepts a fastener.