Initial evaluation of variable graft lengths and lesion lengths in the repair of nerve gaps

J Reconstr Microsurg. 1990 Oct;6(4):311-6. doi: 10.1055/s-2007-1006835.

Abstract

This experiment evaluated the electrical and histologic differences between two groups of rats, one of which underwent same-length bilateral resection of posterior tibial nerves prior to being repaired with grafts of different lengths, while the other group underwent different-length resections with same-length graft repair. In this rat model, 18 animals were used and divided into two groups. The first group of animals underwent bilateral resection of 8-mm segments of posterior tibial nerve. To repair these nerves, one leg received two 8-mm sural nerve grafts (Group A), while the other leg received two 16-mm sural nerve grafts (Group B). The second group of rats underwent posterior tibial nerve resections of 8 mm and 16 mm, respectively. The leg with the 8 mm of posterior tibial nerve resected, received two side-by-side 16-mm sural nerve grafts (Group C); the other leg with 16 mm resected, received two 16-mm sural nerve grafts (Group D). Electrophysiologic comparison of nerve conduction velocity for Groups A and B showed a significant difference (p less than 0.05), as did the same comparison for Groups C and D (p less than 0.05). Histologic studies showed that Groups A and D had marked extrafascicular escape of the regenerating nerve axons, disorganizational growth of minifascicles, and loss of integrity of the donor fascicles, while Groups B and C had very minimal extrafascicular escape of regenerating axons.(ABSTRACT TRUNCATED AT 250 WORDS)

MeSH terms

  • Action Potentials
  • Animals
  • Axons / pathology
  • Axons / physiology
  • Electromyography
  • Evoked Potentials
  • Muscles / innervation
  • Muscles / physiology
  • Nerve Regeneration / physiology
  • Neural Conduction
  • Rats
  • Rats, Inbred Strains
  • Reaction Time
  • Sciatic Nerve / pathology
  • Sciatic Nerve / physiopathology
  • Sural Nerve / pathology
  • Sural Nerve / transplantation*
  • Tibial Nerve / pathology
  • Tibial Nerve / surgery*