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Updated: Apr 21, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
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A new needle holder facilitating palm grip suturing.

Carl-Fredrik Frimand Rönnow1, Bengt Jeppsson, Henrik Thorlacius

  • 1Section of Surgery, Department of Clinical Sciences, Lund University, Malmö, Sweden.

European Surgical Research. Europaische Chirurgische Forschung. Recherches Chirurgicales Europeennes
|November 1, 2014
PubMed
Summary

Surgeons found the new Frimand needle holder (FNH) advantageous for palm grip suturing, with most preferring it over standard instruments. Precision was comparable between finger and palm grips.

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Area of Science:

  • Surgical Instrumentation
  • Surgical Technique
  • Hand Suturing

Background:

  • The palm grip offers versatility and controlled force in hand suturing but risks precision loss.
  • Disengaging the ratchet mechanism can lead to uncontrolled needle movement with palm grip instruments.

Purpose of the Study:

  • To develop and evaluate the Frimand needle holder (FNH) for improved hand suturing.
  • To assess surgeons' perceptions and suture precision using the FNH with both finger and palm grips.

Main Methods:

  • Thirty-two surgeons compared the FNH with a Crile-Wood needle holder (CWNH) on porcine tissues.
  • Suture precision was measured on a polyurethane pad, comparing finger and palm grips.
  • Surgeons completed evaluation forms assessing the FNH.

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Main Results:

  • 88% of surgeons use the palm grip to some extent.
  • 97% experienced an advantage using the FNH with the palm grip.
  • 75% preferred the FNH over the CWNH; no significant precision difference between grips.

Conclusions:

  • The study introduces a novel needle holder designed to enhance palm grip suturing.
  • A majority of surgeons preferred the new FNH for hand suturing over the conventional CWNH.