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Journal of Hand Surgery (British and European Volume)
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Primary Nerve Repair: Strength of Repair with Different Gauges of Nylon Suture Material

G. E. B. GIDDINS
P. J. F. WADE
A. A. AMIS

From St Thomas’s Hospital and the Imperial College of Science, Technology and Medicine, London

Correspondence: Dr A. A. Amis, Biomechanics Section, Mechanical Engineering Department, Imperial College, Exhibition Road, London SW7 2BX.

Cadaveric median nerves were divided and repaired with interrupted epineural sutures, as in normal clinical practice, using three different gauges of nylon monofilament material. Tensile testing of the nerve repairs showed that, of these three gauges, 9/0 (0.3 metric) sutures were preferable: gap formation at the repair site occurred at the highest force. Finer gauge (10/0) sutures snapped at a lower force, while thicker (8/0) sutures were less consistent and pulled out of the nerve tissue.

Journal of Hand Surgery (British and European Volume), Vol. 14, No. 3, 301-302 (1989)
DOI: 10.1016/0266-7681(89)90087-9
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Home page
 Arch Otolaryngol Head Neck SurgHome page
D. J. Terris and W. E. Fee Jr
Current Issues in Nerve Repair
Arch Otolaryngol Head Neck Surg, July 1, 1993; 119(7): 725 - 731.
[Abstract] [PDF]