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Journal of Hand Surgery (British and European Volume)
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Articles

Cutting or Round-Bodied Needles for Tendon Repair

W. L. LAM
A. GARRIDO
J. VANDERMEULEN
M. J. FAGAN
P. R. W. STANLEY

From the Plastic and Reconstructive Surgery, Castle Hill Hospital, and the Department of Biomechanical Engineering, University of Hull, West Yorkshire, UK

Correspondence: Mr Wee Leon Lam, Plastic Surgery and Burns Research Unit, School of Biomedical Sciences, University of Bradford, Richmond Road, Bradford BD7 1DP, UK., Tel: +44 1274 235524, Fax: +44 1274 309742; E-mail: weeleon{at}yahoo.com

We carried out a biomechanical study comparing tensile strength after using round-bodied or cutting needles for tendon repair. Swine tendons were repaired in three groups: Group 1 core suture repair only; group 2 core and circumferential suture repair; and group 3 isolated circumferential suture repair. The tendons were tested at longitudinal stress to failure at 5 mm/minute. No significant differences were found between the round-bodied and cutting needles in any group. Equal numbers in the core suture repair group failed by suture pullout when comparing cutting and round-bodied needles. We conclude that the choice of needle has no effect on the outcome of tendon repair if there is consistency of surgeon’s skill and experience.

Key Words: needles • tendon repair

Journal of Hand Surgery (British and European Volume), Vol. 28, No. 5, 475-477 (2003)
DOI: 10.1016/S0266-7681(03)00169-4
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