Evidence map›Paper›PMID 30613770›Full record

ArticleScience advances2019

Peripheral nerve transfers change target muscle structure and function.

Konstantin D Bergmeister, Martin Aman, Silvia Muceli, Ivan Vujaklija, Krisztina Manzano-Szalai, Ewald Unger, Ruth A Byrne, Clemens Scheinecker, Otto Riedl, Stefan Salminger and 4 more

Abstract read
In one paragraph

Article in Science advances, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Algorithm for Surgical Management of Symptomatic Hand and Digital Neuromas.Plastic and reconstructive surgery. Global open · 2026
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  9. A novel mouse model simulating C5 palsy after cervical surgery.Animal models and experimental medicine · 2026
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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.

Konstantin D BergmeisterCD Laboratory for the Restoration of Extremity Function, Department of Surgery, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-3910-9727
Martin AmanCD Laboratory for the Restoration of Extremity Function, Department of Surgery, Medical University of Vienna, Vienna, Austria.
Silvia MuceliDepartment of Bioengineering, Imperial College London, London, UK.
Ivan VujaklijaDepartment of Bioengineering, Imperial College London, London, UK.ORCID 0000-0002-7394-9474
Krisztina Manzano-SzalaiCD Laboratory for the Restoration of Extremity Function, Department of Surgery, Medical University of Vienna, Vienna, Austria.
Ewald UngerCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Ruth A ByrneDivision of Rheumatology, Clinic for Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Clemens ScheineckerDivision of Rheumatology, Clinic for Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Otto RiedlCD Laboratory for the Restoration of Extremity Function, Department of Surgery, Medical University of Vienna, Vienna, Austria.
Stefan SalmingerCD Laboratory for the Restoration of Extremity Function, Department of Surgery, Medical University of Vienna, Vienna, Austria.
Florian FrommletCenter for Medical Statistics, Informatics and Intelligent Systems, Section for Medical Statistics, Medical University of Vienna, Vienna, Austria.
Gregory H BorschelDivision of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada.
Dario FarinaDepartment of Bioengineering, Imperial College London, London, UK.ORCID 0000-0002-7883-2697
Oskar C AszmannCD Laboratory for the Restoration of Extremity Function, Department of Surgery, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-5530-726X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Selective nerve transfers surgically rewire motor neurons and are used in extremity reconstruction to restore muscle function or to facilitate intuitive prosthetic control. We investigated the neurophysiological effects of rewiring motor axons originating from spinal motor neuron pools into target muscles with lower innervation ratio in a rat model. Following reinnervation, the target muscle's force regenerated almost completely, with the motor unit population increasing to 116% in functional and 172% in histological assessments with subsequently smaller muscle units. Muscle fiber type populations transformed into the donor nerve's original muscles. We thus demonstrate that axons of alternative spinal origin can hyper-reinnervate target muscles without loss of muscle force regeneration, but with a donor-specific shift in muscle fiber type. These results explain the excellent clinical outcomes following nerve transfers in neuromuscular reconstruction. They indicate that reinnervated muscles can provide an accurate bioscreen to display neural information of lost body parts for high-fidelity prosthetic control.

Indexed as

AnimalsAxonsForelimbMaleModels, AnimalMotor NeuronsMuscle ContractionMuscle Fibers, SkeletalNerve RegenerationNerve TransferPlastic Surgery ProceduresRatsRats, Sprague-DawleyTreatment OutcomeUlnar Nerve

Identifiers

PMID30613770
PMCPMC6314825

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.