Long-term results of peripheral nerve repair: a comparison of nerve anastomosis with ethyl-cyanoacrylate and epineural sutures.
The morphological and functional recovery after repair of lesions to the sciatic nerve was studied in adult rats. We compared conventional microsuturing with a synthetic ethyl-cyanoacrylate adhesive. Six months after a unilateral lesion and subsequent repair the tibial branch to the lateral gastrocnemius muscle and the caudal sural cutaneous nerve were examined with electrophysiological measurements of motor and sensory conduction velocity, motor nerve action potentials, and quantitative histological examinations. There was functional reinnervation of motor and sensory nerves in both groups, as shown by equivalent recovery of motor and sensory conduction velocities, and motor nerve action potentials. Histological examination showed no significant difference in the mean diameter, fibre density or the number of regenerated myelinated motor and sensory axons distal to the repair site between the two groups. We conclude that anastomosis of the nerve with ethyl-cyanoacrylate adhesive supports morphological and functional recovery comparable to that of conventional epineural sutures after a unilateral lesion of the sciatic nerve in adult rats.
Department of Hand Surgery, Karolinska Institutet, Sodersjukhuset, Stockholm, Sweden. thomas.landegren@ki.se
Thomas
T
Landegren
Mårten
M
Risling
Anders
A
Brage
Jonas K E
JK
Persson
D000200:Action Potentials; D000714:Anastomosis, Surgical; D000818:Animals; D003487:Cyanoacrylates; D005260:Female; D006490:Hemostatics; D008866:Microsurgery; D018482:Muscle, Skeletal / Q000294:innervation; D009416:Nerve Regeneration; D009431:Neural Conduction; D051381:Rats; D017207:Rats, Sprague-Dawley; D020127:Recovery of Function; D012584:Sciatic Nerve / Q000293:injuries* / Q000601:surgery* / Q000648:ultrastructure; D013537:Sutures
D003487:Cyanoacrylates; D006490:Hemostatics; C029054:ethyl 2-cyanoacrylate