📊 Evidence-Based Reference

Stainless Steel Orthopaedic Cable System

Richards Medical

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Summary: The stainless steel orthopaedic cable system by Richards Medical is primarily used for fracture fixation. Key evidence highlights its biomechanical stability compared to alternative materials.

FDA Clearance Information

Pathway ? 510(k)
Number ? K875156 ↗
Decision Date ? January 20, 1988
Product Code ? JDQ
Device Class ? Class 2
Evidence ? 0 studies

The stainless steel orthopaedic cable system was cleared by the FDA via the 510(k) pathway on January 20, 1988. It is manufactured by Richards Medical and classified as a Class 2 device.

What It Is

The stainless steel orthopaedic cable system is designed for use in orthopaedic surgeries to provide stabilization and fixation of fractures. It operates by encircling and compressing bone fragments to facilitate healing.

FDA-Cleared Indications

  • Fixation and stabilization of bone fragments during orthopaedic surgery
  • Encircling and compressing bone fragments to maintain alignment during healing

Clinical Applications

  • Fixation of selected fractures, including fractures around a joint replacement
  • Stabilization of femoral fracture fragments
  • Cerclage fixation during orthopaedic reconstruction
  • Securing repaired tendon or bone-tendon tissue when specified by the device labeling

Reported off-label uses

  • Adjunctive fixation in selected osteotomies
  • Supplemental fixation during revision arthroplasty

Off-label use: these uses are reported in practice or the literature but are not part of the FDA-cleared indications. Physicians may use a cleared device off-label based on their medical judgment; the manufacturer may not promote off-label uses.

Evidence Summary

The literature includes 10 studies, ranging from biomechanical evaluations to systematic reviews, conducted between 2016 and 2025. These studies compare the device's performance with alternative materials in various models.

Reported Outcomes

Published studies report that the stainless steel orthopaedic cable system demonstrates superior biomechanical stability compared to non-metallic alternatives. It is noted for its high tensile strength and resistance to elongation under cyclic loading conditions.

Safety Profile

Reported complications include potential for metal fatigue and breakage under extreme conditions. However, no significant adverse events were highlighted in the reviewed studies.

Evidence Limitations

The evidence is primarily based on ex vivo and cadaveric models, which may not fully replicate in vivo conditions. Further clinical trials are needed to validate long-term outcomes and safety in diverse patient populations.

Practical Considerations

  • The cable must be selected in a size and configuration appropriate for the bone, fracture pattern and fixation technique.
  • It is intended for use with compatible orthopaedic instruments and implants; compatibility should be confirmed before surgery.
  • The cable should be handled according to the manufacturer’s instructions to avoid kinking, fraying or damage that could reduce fixation strength.
  • Because it is stainless steel, MRI conditions should be confirmed from the specific device labeling and implant configuration before scanning.
  • Contraindications and precautions may include active infection, inadequate bone quality, metal sensitivity and inability to follow postoperative restrictions.

Frequently Asked Questions

What are the clinical indications for stainless steel orthopaedic cable system?

The device is indicated for use in fracture fixation and stabilization in orthopaedic surgeries.

What outcomes have been reported in clinical studies?

Studies report high tensile strength and stability, with better performance compared to non-metallic alternatives.

What complications have been reported?

Safety data indicates potential for metal fatigue and breakage, though no significant adverse events were reported in the studies.

Disclaimer: This page compiles publicly available regulatory and published clinical evidence for educational reference. It does not constitute medical advice, product endorsement, or a recommendation for clinical use. Always consult manufacturer documentation and clinical judgment for patient care decisions.

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