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Needle Holder Handling

Chapter 3: Table of contents

Tripod Grip:  Correct Technique

Tripod Grip: Correct Technique

The tripod grip, also refered to as the ‘thumb and ring finger grip’, is most commonly used.  As this name indicates, it involves placing the thumb and ring finger in the rings of the needle driver.

Tripod Grip:  Incorrect Technique

Tripod Grip: Incorrect Technique

The thumb and ring finger should be used when grasping an instrument with a tripod grip.  Using the index or middle finger is incorrect and decreases control and precision.

Thenar Eminence:

Thenar Grip

Thenar grip implies the instrument is held in the palm of the hand while placing the ring finger through the bottom ring of the instrument.

Palm Grip/Modified Thenar Eminence:

Palm Grip

Palmed Grip implies the instrument is held in the palm of the hand without placing any finger through the rings.

Pencil Grip:

Pencil Grip

Pencil grip is the technique used for handling microvascular needle drivers such as Castroviejo.

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