Letters Suture v staples

Authors’ reply

BMJ 2010; 340 doi: http://dx.doi.org/10.1136/bmj.c2632 (Published 18 May 2010) Cite this as: BMJ 2010;340:c2632
  1. Toby O Smith, research physiotherapist in orthopaedics, honorary lecturer1,
  2. Debbie Sexton, senior orthopaedic physiotherapist1,
  3. Charles Mann, consultant orthopaedic surgeon1,
  4. Simon Donell, consultant orthopaedic surgeon, honorary professor in musculoskeletal disorders1
  1. 1Norfolk and Norwich University Hospital, Norwich NR2 7UY
  1. toby.smith{at}uea.ac.uk

    We agree with Dickson,1 and our review indicated several methodological limitations to the evidence base—for example, poor description of surgical techniques, operator skill, density of staples, and diagnosis of infection rates.2 Vochteloo and colleagues suggest a “lack of a priori design,”3 but this was in order to answer the research question on the basis …

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