Axon Regeneration and Vascularisation of Nerve Grafts an Experimental Study

Author:

McCULLOUGH C. J.1,GAGEY O.1,HIGGINSON D. W.1,SANDIN B. M.1,CROW J. C.1,SEBILLE A.1

Affiliation:

1. From Northwick Park Hospital, Middlesex and Hôpital St. Antoine, Paris

Abstract

An experimental model has been designed to assess the effect of vascularisation on axon regeneration in nerve grafts. The vascular status of the grafts has been demonstrated by microangiography and histology. Rat sciatic nerve grafts in which the vascular pedicles were left intact retained a normal vascular pattern which was not adversely affected by wrapping the graft in a polythene sleeve. In devascularised grafts, revascularisation commenced at three days and was complete at nine days. If the devascularised grafts were wrapped in a polythene sleeve, revascularisation was impeded and at fifteen days the middle segment of the graft was avascular and infarcted. The rate of axon regeneration was measured electrophysiologically in the above four groups of nerve grafts. There was a linear relationship between the rate of axon regeneration with time post-graft, axon growth proceeding at a mean rate of 1.150mm/day (S.E. ± 0.084) after a mean delay of 4.85 days. There was no significant difference in the rate of axon regeneration in the four groups.

Publisher

SAGE Publications

Subject

Transplantation,Surgery

Reference13 articles.

1. . BIRCH, R. (1983). Personal Communication.

2. BROOKS, DM (11975). Nerve Grafting in “Traumatic Nerve Lesions of the Upper Limb”. In J Michon and E Moberg (Eds.), 1st English Edition (pp. 87-89). Edinburgh, London and New York: Churchill Livingstone.

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