Disclosed embodiments relate to a fixation device for use in supporting and/or aligning an injured body part. An exemplary disclosed fixation device uses a pair of thumb wheel control elements to provide controlled rotational micromovements of a joint fracture. The control elements, their associated drive systems, and at least a tension member allow for converting a rotational force to a translational force to be applied to a driven article in one direction. In addition, the fixation device may incorporate a drive system that introduces a simultaneous longitudinal translation of bone pins with rotation, in order to provide for a translated point of origin of rotation between the fixation device and the affected body part supported by the fixation device.