A surgical apparatus driver device for use with a subcombination comprising A) a tome for cutting at least one dovetail in bone comprising a shaft having first and second ends, the first end having attached thereto a blade for cutting the dovetail in the bone and the second end having attached thereto an extension for engagement with a mechanical energy transmission mechanism, and B) a guide comprising a tube having a first end and a second end, the tube being configured for acceptance of the shaft of the tome and having tangs extending from one end thereof; wherein the driver comprises a mechanism for engagement with the subcombination, a piston, and a mechanism for providing power to the piston for delivery of a multiplicity of impact to the subcombination.