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
Biomaterialsjournal_title
Biomaterialsauthors
IJkema-Paassen J,Jansen K,Gramsbergen A,Meek MFdoi
10.1016/s0142-9612(03)00504-0keywords:
subject
Has Abstractpub_date
2004-04-01 00:00:00pages
1583-92issue
9eissn
0142-9612issn
1878-5905pii
S0142961203005040journal_volume
25pub_type
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