A comparison of peripheral nerve repair using an absorbable tubulization device and conventional suture in primates.
Median nerve regeneration was studied in 30 adult primates after repair by microsurgical suture or tubulization with a nonwoven, bioabsorbable, polyglycolic acid device.  The two methods were compared electrophysiologically and histologically 6 and 12 months after repair. The electrophysiology included recording of electrically evoked compound action potentials and subsequent determination of threshold, conduction velocity, amplitude, and area above the baseline for each component.  Measurements were obtained before nerve transection and at the time of biopsy by stimulating both proximal and distal to the transection site.  Analysis of all electrophysiological parameters revealed no statistically significant differences (p less than 0.05) between the two repair techniques.  Histopathology included examination of cross sections proximal and distal to the repair sites and longitudinal sections through the coaptation site.  End organs (Meissner's and Pacinian corpuscles and muscle) were sectioned to determine the degree of reinnervation.  No significant differences between the repair techniques were observed by histological analysis of these sections.  These evaluations indicated that the tubulization repair technique produced results comparable to that of the suture technique.
Tountas
C P
CP
Hand Surgeons of Minnesota, St. Paul.
Bergman
R A
RA
Lewis
T W
TW
Stone
H E
HE
Pyrek
J D
JD
Mendenhall
H V
HV
D004594:Electrophysiology; D006801:Humans; D008252:Macaca fascicularis; D008422:Materials Testing; D008475:Median Nerve / Q000502:physiology* / Q000601:surgery; D009416:Nerve Regeneration / Q000502:physiology; D011100:Polyglycolic Acid / Q000627:therapeutic use; D019736:Prostheses and Implants; D013536:Suture Techniques; D016896:Treatment Outcome