<p>A manually operable wire, cabling or the like tensile material tensioning device in the form of an orthopaedic tying device 10 comprises a manually handlable carrier 1-2 mounting a tensioner 14 and a guide in the form of a barrel type extending arm 18 extending from the carrier 12. The device 10 defines a tensile material receiving end 20 from which tensile material by way of the leading ends of opposite end sections is fried thereto. The tensioner 14 includes a shaft mounted rotor 16 that forms part of a gear train 26 that is rotatable by way of a winder 30. The shaft 32 of the rotor 16 -presents lateral stubs 36 formed with tensile material section ends anchoring bores 33. The arm 18 is integrally constituted by a head 40, an intermediate narrow section 42 and a trailing end flaring formation 44 along which opposite tensile material end sections 64, 66 are passed once the device is in use.</p>
