The influence of nerve conduits diameter in motor nerve recovery after segmental nerve repair

Guilherme Giusti, Richard H. Shin, Joo Yup Lee, Tiago G. Mattar, Allen T. Bishop, Alexander Y. Shin

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Many conduits have demonstrated potential to substitute nerve autografts; however, the influence of conduit inner diameter (ID) has never been studied as a separate parameter. This experimental study compared motor recovery after segmental nerve repair with two different ID collagen conduits: 1.5 and 2.0 mm. In addition, the conduits were analyzed in vitro to determine the variations of ID before and after hydration. Thirty rats were divided into three groups: 2.0 mm ID, 1.5 mm ID, and a control group autograft. After 12 weeks, the 1.5 mm ID group demonstrated significant increase in force (P < 0.0001) and weight (P < 0.0001) of the tibialis anterior muscle and better histomorphometry results of the peroneal nerve (P < 0.05) compared to 2.0 mm ID group; nevertheless, autograft results outperformed both conduits (P < 0.0001). Conduits ID were somewhat smaller than advertised, measuring 1.59 ± 0.03 mm and 1.25 ± 0.0 mm. Only the larger conduit showed a 6% increase in ID after hydration, changing to 1.69 ± 0.02 mm. Although autografts perform best, an improvement in motor recovery can be achieved with collagen conduits when a better size match conduit is being used. Minimal changes in collagen conduits ID can be expected after implantation.

Original languageEnglish (US)
Pages (from-to)646-652
Number of pages7
JournalMicrosurgery
Volume34
Issue number8
DOIs
StatePublished - Nov 1 2014

ASJC Scopus subject areas

  • Surgery

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