TenoTac® is a patent-pending procedure and soft tissue fixation system designed to permanently address the source of the toe contracture. Cannulated instrumentation allows for accurate and reproducible placement of the implant. A threaded titanium implant with a spiked base is used to achieve and hold soft tissue fixation. The procedure requires minimal steps to correct flexible and semi-rigid hammertoe, plantar plate insufficiency, MPJ instability, as well as other applications in the forefoot. Instrumentation facilitates a two-handed technique to achieve correction, temporary fixation, and final implant placement. The implant features a low-profile dorsal component to reduce soft tissue irritation which threads into a plantar tack with a single row of spikes intended to grip and hold tension on the flexor tendon. The system is available in sterile kit offers two dorsal lengths to accommodate varying patient anatomies.