A deployment device, including a driver shaft; an implant attached to the distal end of the driver shaft; a handle assembly connected to the proximal end of the driver shaft including a handle and a knob positioned distally to the handle; a cleat configured to secure a proximal end of a suture received from the implant through an aperture of the driver shaft resulting in a first applied tension value when the implant is placed in a pilot hole, wherein each of the implant, proximal handle and cleat is connected to the driver shaft such that rotation of the proximal handle in a first direction results in the rotation of the implant in the first direction and the maintenance of at least 50% of the first applied tension value when the implant is rotated in the first direction and advanced in the distal direction within the pilot hole.