A fixation apparatus is provided that includes a reception portion on a proximal end of the fixation apparatus. The reception portion couples the fixation apparatus to a tension element, and adjustment of the tension element with respect to the fixation apparatus does not cause a change in a position of the fixation apparatus. The fixation apparatus also includes a chamber in a distal portion of the fixation device. The chamber provides a supportive enclosure for a tension element that runs through the chamber and is anchored at the reception portion, and a force vector of the tension element exiting at the distal end of the fixation device is redirected at an axis independent of the axis of the fixation apparatus from the proximal end to the distal end.