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Ukrainian Neurosurgical Journal
Article . 2017 . Peer-reviewed
Data sources: Crossref
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Ukrainian Neurosurgical Journal
Article . 2017
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Electroneuromyographic correlates of sciatic nerve function restoration after its resection and welded epineural coaptation in the experiment

Authors: Tsymbaliuk, Vitaliy I.; Molotkovets, Vitaliy Y.; Medvediev, Volodymyr V.; Luzan, Borys M.; Tatarchuk, Мykhaylo М.; Draguntsova, Natalya G.; Turuk, Lesia S.;

Electroneuromyographic correlates of sciatic nerve function restoration after its resection and welded epineural coaptation in the experiment

Abstract

Objective: To estimate the effectiveness of welding epineural coaptation of the residual sciatic nerve after resection based on electroneuromyographic (ENMG) parameters obtained in the gastrocnemius muscle.Materials and methods. Experimental animals were albino outbreed male rats (350–450 g, 7 months old); trauma model was the resection of the left sciatic nerve in the middle third; the experimental groups were as following: 1 — neurotomy (n = 18), 2 — neurotomy + neurosuture (n = 13), 3 — neurotomy + welding coaptation (n = 15); the method of investigation was direct needle ENMG (sciatic nerve stimulation, responses were registered in gastrocnemius muscle) in 3 and 5 months after injury.Results. The model of the nerve trauma with a temporary restriction of limb mobility is relevant for evaluating the effectiveness of restorative interventions in this type of pathology. In 5 months of observation there was found a significant prevalence of M-response amplitude in the injured limb compared to neurorrhaphy (17.3 ± 2.3 vs. 8.4 ± 0.9 mV, respectively; p = 0.005). M-response amplitude lateralization after the welded coaptation, in contrast to neurorrhaphy, is of temporary nature, indicating the improved regeneration process. Absence of ENMG-indices lateralization in 3 and 5 months after the neurotomy and high values of the M-response amplitude in 5 months indicated the possibility of gastrocnemius alternative re-innervations by terminals of intact nerve trunks.Conclusion. High-frequency electric epineural welding provides a reliable coaptation of the residual nerve, and, taking into account some ENMG indicators, is more effective than neurorrhaphy.

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Keywords

Orthopedic surgery, Neurology. Diseases of the nervous system, невротомия; нейрорафия; сварные соединения биологических тканей; электронейромиография; регенерация периферического нерва, невротомія; нейрорафія; зварне з’єднання біологічних тканин; електронейроміографія; регенерація периферійного нерва, RC346-429, neurotomy; neurorrhaphy; welding coaptation of biological tissues; electroneuromyography; peripheral nerve regeneration, RD701-811

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
gold