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Nerve repair by means of vein filled with muscle grafts I. Clinical results
Author(s) -
Battiston Bruno,
Tos Pierluigi,
Cushway Timothy R.,
Geuna Stefano
Publication year - 2000
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/(sici)1098-2752(2000)20:1<32::aid-micr6>3.0.co;2-d
Subject(s) - medicine , epineurial repair , peripheral nerve , vein , surgery , regeneration (biology) , axon , anatomy , nerve repair , bridging (networking) , microsurgery , computer network , biology , computer science , microbiology and biotechnology
Peripheral nerve lesions with a long segment defect need a grafting conduit to heal. Although autogenous nerve grafting is still considered the best method for bridging nerve defects, several alternative types of conduits (biological and synthetic) have been studied. We have demonstrated in previous experimental research in rats that a graft made using a vein (providing a guide for nerve regeneration) filled with fresh skeletal muscle (to prevent vein collapse and support axon regeneration) gave similar results to traditional nerve grafts. On this basis, we decided to use the muscle‐vein‐combined grafts in clinical cases. From 1993 to 1997, this technique was applied for bridging both sensory and mixed nerve defects (21 cases). We report good results in 85% of our cases with a minimum follow‐up of 14 months. These results, obtained on nerve defects ranging from 0.5 to 6 cm in length, seem to be superior to those reported with other kinds of artificial or biological conduits. © 2000 Wiley‐Liss, Inc. MICROSURGERY 20:32–36 2000