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Re: Multifocal deep space hand infection secondary to haematogenous spread from chronic epididymo-orchitis

injury. Techniques using several readily available parts require elaborate preparation and do not overcome the problem of bulk in a restricted operative field. A much simpler modification of the needle technique was learnt from Amit Gupta in Louisville and continues to be used routinely in East Grinstead. It is safe, cheap and maintains good alignment. After retrieving the flexor tendon, a blue hub 25-guage hypodermic needle is inserted through the tendon substance without catching any other soft tissue, approximately 15mm from the tendon end. A second pink hub 18-guage hypodermic drawing-up needle, which is routinely available in NHS Trusts in the UK, is fed over the exposed end of the 25-gauge hypodermic needle (Fig 1). This prevents any potential needle-stick injury and stabilises the tendon ends whilst the repair is being carried out. We recommend this technique to aid surgeons in performing flexor tendon repair.