Bone fastener and methods of use

A fenestrated bone fastener comprising:

• a head;
• an elongated shank defining a longitudinal axis having a proximal end and a distal end wherein the proximal end is connected to the head and the elongated shank comprises an inner surface defining a longitudinal cavity disposed along the longitudinal axis and at least one transverse cavity positioned in the elongated shank, the at least one transverse cavity is in communication with the longitudinal cavity and the inner surface defining the transverse cavity and the elongated cavity and an outer surface of the elongated shank has bone conductive material disposed thereon so as to promote bone growth into the transverse cavity, elongated cavity and about the surface of the elongated shank in order to secure the bone fastener to bone;
• and
• the distal end is configured to cut into bone and to self-pack the elongated cavity with autograft material as it is inserted into bone.