An implant guidance and positioning device is provided for dynamic and rigid fixation of tissue or an implant. The device includes a handle and an elongated hook connected with the handle, which may have a lumen extending therethrough or may have a socket that can receive fasteners. The device also includes a guide channel or slot disposed in the handle. The longitudinal axis of the guide channel or slot may be generally aligned with or slightly offset from a distal end of the elongated hook or socket.
