LIU Yong 1 , HOU Chunlin 1 , LIN Haodong 1 , WEI Changzheng 2
  • 1Department of Orthopaedics, Shanghai Changzheng Hospital, Shanghai, 200003, P.R.China;;
  • 2Shanghai Qisheng Biological Preparation Co., Ltd.;
Peri pheral nerve defect; Nerve regeneration; Nerve conduit; Chitosan/polyvinyl alcohol; Macaque
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Objective To investigate the effects of chitosan/polyvinyl alcohol (PVA) nerve conduits for repairing radial nerve defect in Macaques. Methods Twelve adult Macaques weighing 3.26-5.35 kg were made the models of radial nerve defect (2 cm in length) and were randomly divided into 3 groups according to nerve grafting, with 4 Macaques in each group. Chitosan/PVA nerve conduit, non-graft, and autografts were implanted in the defects in groups A, B, and C, respectively. And the right radial nerves were used as normal control. At 8 months postoperatively, the general observation,
electrophysiological methods, and histological examination were performed. Results At 8 months postoperatively, the
regenerated nerve bridged the radial nerve defect in group A, but no obvious adhesion was observed between the tube and the peripheral tissue. The regenerated nerve had not bridged the sciatic nerve defect in group B. The adhesions between the implanted nerve and the peri pheral tissue were significant in group C. Compound muscle action potentials (CMAP) were detected in group A and group C, and no CMAP in group B. Peak ampl itude showed a significantly higher value in normal control than in groups A and C (P  lt; 0.05), but there was no significant difference between groups A and C (P  gt; 0.05). Nerve conduction velocity and latency were better in normal control than in groups A and C, and in group C than in group A, all showing significant differences (P lt; 0.05). The density of myl inated fibers in groups A and C was significantly lower than that in normal control (P  lt; 0.05), but there was no significant difference between groups A and C (P  gt; 0.05). The diameter and the myel in sheath thickness of the myl inated fibers in normal control were significantly higher than those in groups A and C, and in group C than in group A, all showing significant differences (P  lt; 0.05). Conclusion The chitosan/PVA nerve conduits can promote the peripheral nerve regeneration, and may promise alternative to nerve autograft for repairing peripheral nerve defects.

Citation： LIU Yong,HOU Chunlin,LIN Haodong,WEI Changzheng. AN EXPERIMENTAL STUDY ON EFFECT OF CHITOSAN/POLYVINYL ALCOHOL NERVE CONDUITS ON PERIPHERAL NERVE REGENERATION IN MACAQUES. Chinese Journal of Reparative and Reconstructive Surgery, 2011, 25(10): 1235-1238. doi: Copy