The artificial nerve graft: a comparison of blended elastomer-hydrogel with polyglycolic acid conduits

J Reconstr Microsurg. 1991 Apr;7(2):93-100. doi: 10.1055/s-2007-1006766.

Abstract

A study was undertaken to compare the regeneration of rat peroneal nerves across a 0.5-cm gap repaired with either a permanent, porous or a resorbable, non-porous artificial nerve graft. The resorbable, impermeable artificial nerve graft was a synthetic passive conduit made from polyglycolic acid (PGA). The permanent, porous artificial nerve graft conduit was manufactured from a hydrophilic elastomeric biopolymer (HEB), and four variations were tested. Qualitative histology on short-term animals revealed similar inflammatory reactions to HEB and PGA. Axonal regeneration was evaluated in longer-term animals after three, four, and six months by qualitative and quantitative histology. Qualitative histology on longer-term animals demonstrated both artificial nerve grafts to be anti-immunogenic. All PGA-artificial nerve graft repairs among three-, four-, and six-month rats contained myelinated axons, as did all HEB-1 repairs. However, three other HEB-graft varieties accounted for a 25 percent failed regeneration rate. Quantitative histologic comparison of repair-site cross-sections in viable PGA and HEB matched pairs demonstrated statistically equivalent myelinated axon counts but larger average myelinated fiber diameters in HEB repairs, with p = .001.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • Axons / physiology
  • Biocompatible Materials*
  • Male
  • Myelin Sheath / physiology
  • Nerve Regeneration / physiology*
  • Peroneal Nerve / physiology*
  • Polyglycolic Acid*
  • Prostheses and Implants*
  • Rats
  • Rats, Inbred Strains

Substances

  • Biocompatible Materials
  • Polyglycolic Acid