In accordance with one aspect of the present disclosure, an instrument for tensioning a surgical cable is provided that includes a rotary tensioner that is rotatable in a tensioning rotary direction to apply tension to the surgical cable. The instrument further includes a body supporting the rotary tensioner, a pawl portion of the body configured to be received at least partially in a recess of a ratchet gear of the rotary tensioner, and a living hinge portion of the body supporting the pawl portion. The living hinge portion is configured to permit the pawl portion to be shifted out of the recess and shifted into an adjacent recess of the ratchet gear with turning of the rotary tensioner in the tensioning rotary direction.Un instrument de tension de câble chirurgical comprend un tendeur rotatif qui tourne pour tendre le câble chirurgical, un corps supportant le tendeur rotatif, un cliquet dans l'engrenage à rochet du tendeur rotatif, et une charnière mobile supportant le cliquet. La charnière permet au cliquet d'être déplacé dans un évidement adjacent à celui de l'engrenage.
