Peripheral nerve repair with bioresorbable prosthesis

Trans Am Soc Artif Intern Organs. 1983:29:307-13.

Abstract

Using the transected sciatic nerve model in adult mice, regeneration of a large bundle of axons organized into the form of a nerve with myelinated and unmyelinated axons, Schwann cells, fibroblasts, collagen, blood vessels, and connective tissue sheaths has been achieved with bioresorbable microtubular guidance channels over gaps of 5 mm in nonimmobilized animals. After 4-6 wks postoperatively, the regenerated nerve cable contains on the order of 40% as many myelinated axons as were measured in the proximal nerve stumps. With the channels used so far in this model, regenerating axons pass into the distal stump in about 3-6 wks postoperatively. The guidance channels used consist of synthetic polyesters and/or polyester composites including glycolic and lactic acid polymers, and polyesters derived from Krebs Cycle dicarboxylic acids. Inflammatory response to these materials has been minimal. Biodegradation/resorption rates can be controlled so as to be compatible with axon growth rates.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Biocompatible Materials*
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Polyesters
  • Prostheses and Implants*
  • Prosthesis Design
  • Sciatic Nerve / physiology
  • Sciatic Nerve / surgery*

Substances

  • Biocompatible Materials
  • Polyesters