Mackinnon SE, O'Brien JP, Dellon AL, McLean AR, Hudson AR, Hunter DA. An assessment of the effects of internal neurolysis on a chronically compressed rat sciatic nerve.
Plast Reconstr Surg 1988;
81:251-8. [PMID:
3336657 DOI:
10.1097/00006534-198802000-00020]
[Citation(s) in RCA: 55] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Chronically compressed nerves were treated with three surgical modalities. Simple decompression was compared to internal neurolysis with and without the addition of extrafascicular steroid. Electrophysiologic, histologic, and morphometric assessments were performed. Compressed control nerves demonstrated changes compatible with severe nerve compression (Wallerian degeneration). With simple decompression, improvement in histologic and electrophysiologic parameters occurred. When internal neurolysis was added to the decompression, further improvement in histologic and electrophysiologic parameters was noted. There was no added improvement with the addition of steroids.
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