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Striated muscle atrophy and degeneration, which increase with the delay of denervation, represent two of the main causes for poor recovery following delayed nerve repair. The present study, using a rat model, tests the hypothesis that an adjunction of small, free, nonvascularised muscle grafts of contralateral healthy triceps into a chronically denervated triceps improves muscle regeneration and recovery following sciatic nerve repair delayed for 3 months. Our experiments seem to show a relative increase in mechanical properties in animals in which free muscle graft into the triceps was performed 3 weeks following nerve repair. The improvement of the regenerative process of muscles which have suffered a long period of denervation should be considered as an additional therapeutic procedure in the case of late nerve repair.

Citation

M Chammas, E Rabischong, M C Picot, M Gaviria, P Roger, J P Micallef, C Prefaut, Y Allieu. Functional and histologic effects of a free nonvascularised muscle graft implanted into a reinnervated muscle after prolonged denervation. Microsurgery. 1996;17(10):545-50

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PMID: 9431516

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