Evidence map›Paper›PMID 29659600›Full record

ArticlePloS one2018

Reconstruction of a 10-mm-long median nerve gap in an ischemic environment using autologous conduits with different patterns of blood supply: A comparative study in the rat.

Diogo Casal, Eduarda Mota-Silva, Inês Iria, Sara Alves, Ana Farinho, Cláudia Pen, Nuno Lourenço-Silva, Luís Mascarenhas-Lemos, José Silva-Ferreira, Mário Ferraz-Oliveira and 4 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Diogo CasalAnatomy Department, NOVA Medical School, Universidade NOVA de Lisboa, Lisbon, Portugal.ORCID 0000-0002-5537-9340
Eduarda Mota-SilvaLIBPhys, Physics Department, Faculdade de Ciências e Tecnologias, Universidade NOVA de Lisboa, Lisbon, Portugal.
Inês IriaCEDOC, NOVA Medical School, Universidade NOVA de Lisboa, Lisbon, Portugal.
Sara AlvesPathology Department, Centro Hospitalar de Lisboa Central-Hospital de São José, Lisbon, Portugal.
Ana FarinhoCEDOC, NOVA Medical School, Universidade NOVA de Lisboa, Lisbon, Portugal.
Cláudia PenPathology Department, Centro Hospitalar de Lisboa Central-Hospital de São José, Lisbon, Portugal.
Nuno Lourenço-SilvaCEDOC, NOVA Medical School, Universidade NOVA de Lisboa, Lisbon, Portugal.
Luís Mascarenhas-LemosAnatomy Department, NOVA Medical School, Universidade NOVA de Lisboa, Lisbon, Portugal.
José Silva-FerreiraPathology Department, Centro Hospitalar de Lisboa Central-Hospital de São José, Lisbon, Portugal.
Mário Ferraz-OliveiraPathology Department, Centro Hospitalar de Lisboa Central-Hospital de São José, Lisbon, Portugal.
Valentina VassilenkoLIBPhys, Physics Department, Faculdade de Ciências e Tecnologias, Universidade NOVA de Lisboa, Lisbon, Portugal.
Paula Alexandra VideiraUCIBIO, Life Sciences Department, Faculty of Sciences and Technology, Universidade NOVA de Lisboa, Caparica, Portugal.
João Goyri-O'NeillAnatomy Department, NOVA Medical School, Universidade NOVA de Lisboa, Lisbon, Portugal.
Diogo PaisAnatomy Department, NOVA Medical School, Universidade NOVA de Lisboa, Lisbon, Portugal.
Universidade Nova de Lisboa · PTUnidade Local de Saúde de São José · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to evaluate in the Wistar rat the efficacy of various autologous nerve conduits with various forms of blood supply in reconstructing a 10-mm-long gap in the median nerve (MN) under conditions of local ischemia. A 10-mm-long median nerve defect was created in the right arm. A loose silicone tube was placed around the nerve gap zone, in order to simulate a local ischemic environment. Rats were divided in the following experimental groups (each with 20 rats): the nerve Graft (NG) group, in which the excised MN segment was reattached; the conventional nerve flap (CNF) and the arterialized neurovenous flap (ANVF) groups in which the gap was bridged with homonymous median nerve flaps; the prefabricated nerve flap (PNF) group in which the gap was reconstructed with a fabricated flap created by leaving an arteriovenous fistula in contact with the sciatic nerve for 5 weeks; and the two control groups, Sham and Excision groups. In the latter group, the proximal stump of the MN nerve was ligated and no repair was performed. The rats were followed for 100 days. During this time, they did physiotherapy. Functional, electroneuromyographic and histological studies were performed. The CNF and ANVF groups presented better results than the NG group in the following assessments: grasping test, nociception, motor stimulation threshold, muscle weight, and histomorphometric evaluation. Radial deviation of the operated forepaw was more common in rats that presented worse results in the other outcome variables. Overall, CNFs and ANVFs produced a faster and more complete recovery than NGs in the reconstruction of a 10-mm-long median nerve gap in an ischemic environment in the Wistar rat. Although, results obtained with CNFs were in most cases were better than ANVFs, these differences were not statistically significant for most of the outcome variables.

Indexed as

AnimalsAxonsBody WeightForelimbIschemiaMedian NerveMuscle StrengthNeurosurgical ProceduresPostoperative PeriodRatsSurgical Flaps

Identifiers

PMID29659600
PMCPMC5902043
OpenAlexW2799944227

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.