A tension member installation and tensioning device and method for stabilizing a bone are provided. The device includes a barrel that houses a tension member with a leading element attached to the leading end of the tension member. The barrel of the device is inserted into a hole drilled through a bone until the barrel is beyond the distal cortex of the bone. The leading element is then engaged with the distal cortex. The leading element may be released from within the barrel or otherwise expanded to engage the distal cortex. The barrel is then retracted from the hole, and tension is applied to the tension member via a tensioning mechanism to attach a terminal element to a trailing portion of the tension member when a predetermined tension is achieved. The device may include a trigger for actuating the tensioning mechanism and a cutter for severing the tension member.
