The present disclosure relates to an interference screw having a body with a proximal end, distal end, and longitudinal axis extending between therein between. The screw further includes threads for fixing the screw into bone. The screw further includes a through bore defined by the body. The through bore extends between the proximal and distal ends along the longitudinal axis, and has a surface. The screw further includes a controlling member (440) formed by the through bore surface. To install the screw into bone, a surgeon turns the screw with a driver that engages with the controlling member. The driver only engages the controlling member when it is in a driving orientation with respect to the controlling member. Advantageously, with this "one-way" engagement the surgeon can control and confirm the orientation of the driver without seeing the driver and/or screw.