Transection of peripheral nerves, bridging strategies and effect evaluation.

Abstract:

:Disruption of peripheral nerves due to trauma is a frequently occurring clinical problem. Gaps in the nerve are bridged by guiding the regenerating nerves along autologous grafts or artificial guides. This review gives an overview on the different methods of nerve repair techniques. Conventional suturing techniques are discussed as well as the use of e.g. biological, synthetic, non-degradable or degradable nerve guides. Functional assessment showed that repair of a gap with a bio-degradable guide is superior to that with autologous grafts. But still, long lasting changes were observed in the Sciatic Function Index (SFI), abnormal walking patterns, disturbed Electro Myo Graphic (EMG) patterns, next to shifts in the histochemical properties of the muscles and longlasting abnormalities in neuromuscular contacts. These phenomena are explained by an at-random reinnervation. When transecting the nerve at young ages, this did not lead to enhanced recovery. Rearing rats operated at adult age in an enriched environment, also had no beneficial effect. Future research should aim at developing longer guides, possibly lined with Schwann cells, or additives, improving specific reinnervation of the former target areas.

journal_name

Biomaterials

journal_title

Biomaterials

authors

IJkema-Paassen J,Jansen K,Gramsbergen A,Meek MF

doi

10.1016/s0142-9612(03)00504-0

keywords:

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

1583-92

issue

9

eissn

0142-9612

issn

1878-5905

pii

S0142961203005040

journal_volume

25

pub_type

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