Abstract: Embodiments herein are directed to an anchor and an insertion tool. The anchor may be sized for near cortex anchor fixation or for fixation into the intramedullary canal of a bone. Embodiments also describe a cortical anchor and insertion tool assembly including an anchor having a tool receptor, a leading face, a central face, a rear face, and a suture spool to receive suture that is situated away from a center of a longitudinal axis of the anchor; and an insertion tool having a rod member having a distal end. A tip of the rod member may include a pivot structure capable of actively pivoting the anchor at the tool receptor. In some embodiments, the anchor may be guided into a hole in a bone by the insertion tool and pivoted at the tool receptor to fully or partially cover the hole.