Document Detail


Revascularization of nerve grafts: a qualitative and quantitative study of the soft-tissue bed contributions to blood flow in canine nerve grafts.
MedLine Citation:
PMID:  12457355     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Blood flow to canine saphenous nerve grafts either in contact with a healthy soft-tissue bed or isolated from the soft-tissue bed by entubulation was quantitated at 3, 7, 14, and 28 days after surgery with radionuclide-labeled microspheres and evaluated histomorphometrically. At 3 days there was no statistical difference between the 2 techniques in regard to nerve graft blood flow, and neither group had blood flow in the middle portion of the graft. In contrast, analysis at 7, 14, and 28 days found blood flow in the middle segments of the nonisolated conventional nerve grafts to exceed that of entubulated nerve grafts with evidence in these segments of both lateral and longitudinal revascularization. The results of this investigation support an important role for the soft-tissue bed in nerve graft revascularization and suggest that neovascularization from the soft-tissue bed is the primary mechanism for restoration of blood flow in such grafts.
Authors:
Branko Prpa; Paul M Huddleston; Kai-Nan An; Michael B Wood
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  27     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-11-28     Completed Date:  2003-03-14     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1041-7     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, Mayo Clinic and Mayo Foundation, Rochester, MN 55905, USA.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical / methods
Animals
Data Interpretation, Statistical
Dogs
Forelimb / innervation*
Peripheral Nerves / blood supply*,  transplantation*
Regional Blood Flow
Silicone Elastomers
Ulnar Nerve / surgery
Chemical
Reg. No./Substance:
0/Silicone Elastomers

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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