Systems, methods, and apparatuses for tensioning an orthopedic surgical cable used in conjunction with an orthopedic implant device, a bone, and/or bone implant or structure. At least one device in accordance with various embodiments of the invention includes a handheld body handheld body capable of receiving a portion of the orthopedic surgical cable. The handheld body includes a clamping body adapted to restrain a first portion of the orthopedic surgical cable with an adjustable gripping force, wherein a tension is placed on the orthopedic surgical cable. The handheld body also includes an adjusting mechanism adapted to cooperate with the clamping body to change the gripping force on the orthopedic surgical cable. In addition, the handheld body includes a slide adapted to change the position of the clamping body relative to the handheld body. Furthermore, the handheld body includes a force application member operably connected to the slide, wherein the slide is adapted to be manipulated in order to change the position of the clamping body in a manner whereby the tension is subject to gradual control by manipulation of the slide and force application member, and whereby the handheld body and orthopedic surgical cable are adapted to allow the orthopedic surgical cable to be tensioned by the clamping body at a first tension, and further adapted to allow the orthopedic surgical cable to be subsequently tensioned by the slide and force application member at a second tension without loss of tension.
