The various implementations of the present invention provide an improved apparatus for bone reduction and fixation. A flat, substantially rectangular band comprises a wing portion and a plurality of apertures formed in the body of the band. The band provides a mechanism for fixing bones in a desired position by encircling a first bone and a second bone. A first set of apertures provides for real time adjustment of the length of the band to allow for a wide variety of bone reduction applications. By selecting the appropriate length for the band and inserting the wing portion in the appropriate slot, the band can be used for a wide range of applications. A second set of apertures formed in the band provide for bone and tissue contact, promoting healing of the body where the band is placed. A method for determining the proper positioning and placement of the wing portion during the bone reduction process is also disclosed.