Disclosed is a bone fixation device of the type useful for connecting soft tissue or tendon to bone or for connecting two or more bones or bone fragments together. The device comprises an elongate body having a distal anchor thereon. A proximal anchor is axially movably disposed with respect to the distal anchor, to accommodate different bone dimensions and permit appropriate tensioning of the fixation device. In one embodiment, the fixation device is optimized for construction from a biocompatible metal such as titanium, and the proximal anchor is removable to permit removal of the fixation device.