Frontiers in Neurology, 2011 · DOI: 10.3389/fneur.2011.00025 · Published: April 27, 2011
This study compares two methods of repairing damaged nerves in rats: using sutures (stitches) and using a type of glue called ethyl cyanoacrylate (ECA). The goal was to see if one method was better at helping the nerves reconnect to a specific muscle, the lateral gastrocnemius muscle (LGC), after the nerve was cut and repaired. The researchers looked at how well the nerves reconnected by tracking the nerve cells that reached the LGC muscle. They also measured the weight of the muscle to see if it was recovering properly. The results showed that both methods led to similar nerve reconnection, although neither method perfectly restored the original nerve connections. The study suggests that ECA is as good as sutures for repairing nerves, but there's still room for improvement in helping nerves reconnect to the right muscles after an injury.
Ethyl cyanoacrylate can be considered a viable alternative to microsutures for peripheral nerve repair, potentially simplifying surgical procedures.
Given the observed disorganization of the motoneuron pool following nerve repair, targeted rehabilitation strategies may be necessary to improve functional outcomes.
Future studies should investigate the effects of delayed nerve repair using synthetic adhesives, as this is a common clinical scenario.