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Cable System

ACCORD Cable system

Product Information

The ACCORD Cable System offers a stronger and more flexible cable than other systems, a clamping mechanism that allows for the retensioning of a clamped cable without losing cable or clamp integrity and offers a wide variety of trochanteric grip options, fracture management plates and stainless steel spikes and screws that allow for adaptation of the cable system to trauma plating systems.

Features and Benefits

  • 19x7 cable configuration - Provides greater strength than existing 7x7 cable configurations while providing more intraoperative flexibility.
  • Over/Under Clamping Mechanism - Design does not damage cable and allows for retensioning with a single clamp.
  • Single-Handed Pump-Action Tensioner - Allows surgeon to tension cables with one hand while also providing a visual tension gauge as well as a tactile response in the surgeon's hand.
  • Stainless steel spikes and screws - Allows for the ACCORD cable to be adapted to trauma plating systems (PERI-LOC System).
  • Cobalt chrome cable for grips and cable with clamp.
  • Titanium trochanteric grips and fracture management plates.
  • Titanium screws if using titanium fracture management plates (26mm- 52mm).
  • Stainless steel cable with clamp.
  • Stainless steel cable spikes and screws.

Design and Technology


Effectiveness of an orthopaedic cable is measured by its strength and resistance to fretting. Many cables are made of seven bundles of seven strands each (Figure 1). However, the ACCORD Cable System contains 19 bundles of seven strands each (Figure 2) which gives it up to four times the fatigue life of previous 7x7 cable designs.1 Also, the 19x7 configuration makes the ACCORD Cable System more flexible, so it can be positioned easily.



The ACCORD Cable System is an efficient system - primarily because it allows a clamped cable to be loosened and retightened. All other cable systems employ a crimp that deforms the cable and can only be used one time. With the ACCORD Cable System, you can simply unlock the clamp, reapply tension to the cable, and clamp the cable again.


The ACCORD Cable System offers options no other cable system can. Titanium trochanteric grips come in two sizes and in four lengths for a total of eight options. The “small” and “standard” sizes represent the portion of the grip that captures the trochanter and they are based on anatomic studies of actual femurs. ACCORD grips also come in four lengths (allowing for 3, 5, 8 and 11 cables).

Trials are also available to you determine which trochanter size will be needed. 

There are also three sizes of titanium plates (150, 200 and 250mm) that can be used with the cobalt chrome cables.  For trauma situations.

ACCORD Cable System includes stainless steel cables, screws, and spikes.

Download the ACCORD Surgical Technique



1.  Jones, Bob, and Tsai, Stanley: “Fatigue Testing of a Prototype Cable for the

Orthopaedic Cable System,” Smith & Nephew, Inc., Memphis, TN, Orthopaedic

Research Report, OR-02-34, May 2002.


General orthopaedic repair procedures including patellar fractures, general cerclage, trochanteric reattachment, femoral and tibial fractures, prophylactic banding, olecranon fractures, ankle fractures, fixation of spiral fractures in conjunction with intramedullary nail and screw fixation techniques.

Trochanteric reattachment whenever the trochanter is osteotomized in any of the procedures listed below. 

  • Primary total hip arthroplasty.
  • Revision total hip arthroplasty.
  • Any procedure using anterolateral or lateral approaches

Click here to download the ACCORD Surgical Technique 

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Smith & Nephew is providing information in this site for general educational use only, and does not intend for this to be construed as medical advice or used as a substitute for the advice of your physician. For questions or concerns about a previous or upcoming surgery, Smith & Nephew recommends that you contact your healthcare professional.