An instrument for holding and torque control tightening of a threaded implant device with an extender, the instrument including a frame forming a gripping handle and a holder, an elastic device that is arranged at the frame to provide a predefined elasticity to the frame, and a torque measurement device arranged on the frame, wherein the holder is configured to (i) removably hold the threaded implant device and to (ii) hold the extender for tightening the threaded implant device to an object after the threaded implant device has been removed from the holder, and the torque measurement device is configured to measure a torque applied to the threaded implant device via the extender by a deformation of the frame.