Evidence map›Paper›PMID 30746570›Full record

ArticleActa neurochirurgica2019

Protective distal side-to-side neurorrhaphy in proximal nerve injury-an experimental study with rats.

Henrikki Rönkkö, Harry Göransson, Hanna-Stiina Taskinen, Pasi Paavilainen, Tero Vahlberg, Matias Röyttä

Open access · hybridAbstract read
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Article in Acta neurochirurgica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 38% 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

4 citing papers in PubMed, 8 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

6 authors at 4 institutions in 1 country.

Henrikki RönkköDepartment of Orthopaedics, Kanta-Häme Central Hospital, Hämeenlinna, Finland. henrikki.ronkko@tuni.fi.ORCID 0000-0001-6133-3755
Harry GöranssonDepartment of Hand and Microsurgery, Tampere University Hospital, Tampere, Finland.
Hanna-Stiina TaskinenDepartment of Hand Surgery, Turku University Hospital, Turku, Finland.
Pasi PaavilainenDepartment of Hand and Microsurgery, Tampere University Hospital, Tampere, Finland.
Tero VahlbergInstitute of Clinical Medicine, Department of Biostatistics, University of Turku, Turku, Finland.
Matias RöyttäDepartment of Pathology, University of Turku, Turku, Finland.
Tampere University Hospital · FIUniversity of Turku · FIKanta-Hämeen Keskussairaala · FITurku University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSide-to-side neurorrhaphy may protect the denervated end organ and preserve the initial connection with proximal stump. We examined the effect of protective side-to-side anastomosis on nerve and end organ regeneration in proximal nerve injury model.

methodsThe left common peroneal nerve of 24 Sprague Dawley rats was proximally transected. In groups B and C, side-to-side neurorrhaphy was performed distally between the peroneal and tibial nerves without (group B) and with (group C) partial donor nerve axotomy inside the epineural window. Group A served as an unprotected control. After 26 weeks, the proximal transection was repaired with end-to-end neurorrhaphy on all animals. Regeneration was followed during 12 weeks with the walk track analysis. Morphometric studies and wet muscle mass calculations were conducted at the end of the follow-up period.

resultsThe results of the walk track analysis were significantly better in groups B and C compared to group A. Groups B and C showed significantly higher wet mass ratios of the tibialis anterior and extensor digitorum longus muscle compared to group A. Group C showed significantly higher morphometric values compared to group A. Group B reached higher values of the fibre count, fibre density, and percentage of the fibre area compared to group A.

conclusionsProtective distal side-to-side neurorrhaphy reduced muscle atrophy and had an improving effect on the morphometric studies and walk track analysis. Distal side-to-side neurorrhaphy does not prevent the regenerating axons to grow from the proximal stump to achieve distal nerve stump.

Indexed as

Anastomosis, SurgicalAnimalsFemaleNerve RegenerationNeurosurgical ProceduresPeripheral Nerve InjuriesPeroneal NervePlastic Surgery ProceduresRatsRats, Sprague-DawleyTibial NerveWalkingChronic denervationNerve injuryNerve regenerationNerve repairPeripheral nervesSide-to-side repair

Identifiers

PMID30746570
PMCPMC6431300
OpenAlexW2911399951

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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.