A system and a method are for applying a predetermined tension to a joint of a limb of a patient. The limb includes a first limb portion and a second limb portion connected on opposite sides of the joint. The system may include a first securing structure including a first coupling element configured to be coupled to the first limb portion and a first tension member extending from the first coupling element to be anchored in a position selected to secure the first limb portion in a desired position a second securing structure including a second coupling element configured to be coupled to the second limb portion and a second tension member extending from the second coupling element and connected to a tensioning device for applying a predetermined tensioning force to the joint along an axis of the second limb portion.