The end-to-side peripheral nerve repair: functional and morphometric study using the peroneal nerve of rats

JMR De Sá, N Mazzer, CH Barbieri… - Journal of neuroscience …, 2004 - Elsevier
Journal of neuroscience methods, 2004Elsevier
Morphologic and functional recovery following an end-to-side repair was studied
comparatively with conventional end-to-end repair in a model of peroneal nerve lesion in
rats. Twenty-eight rats were used and divided into four groups according to the reparative
procedure following nerve division:(1) nerve stumps buried into neighboring muscles (n=
8);(2) conventional end-to-end repair (n= 7);(3) end-to-side repair onto the tibial nerve (n=
8);(4) sham operation (n= 5). The sciatic functional index (SFI) was evaluated at weekly …
Morphologic and functional recovery following an end-to-side repair was studied comparatively with conventional end-to-end repair in a model of peroneal nerve lesion in rats. Twenty-eight rats were used and divided into four groups according to the reparative procedure following nerve division: (1) nerve stumps buried into neighboring muscles (n=8); (2) conventional end-to-end repair (n=7); (3) end-to-side repair onto the tibial nerve (n=8); (4) sham operation (n=5). The sciatic functional index (SFI) was evaluated at weekly intervals for 8 weeks, the peroneal nerve being resected on the 56th day for histologic and morphometric studies. The SFI progressively improved in Groups 2 (−16.9) and 3 (−22.7), although it did not reach normal values (around −8). The average nerve fiber density increased to normal values in both Groups 2 and 3, although accompanied by a marked decrease of average minimal and maximal nerve fiber diameter, myelin sheath area and G quotient. The differences between Groups 2 and 3 or Groups 2 and 4 were not significant. We conclude that, although resulting in significant morphologic and functional recovery, end-to-side repair is not as efficient as the conventional end-to-end nerve repair. However, end-to-side repair has a potential for application in selected cases in humans.
Elsevier
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