ABSTRACT
In the present study, we performed sciatic nerve compression for 30, 45, and 60 minutes
by the Yasargil aneurysm clip and observed recovery on postoperative days 14, 28,
and 42. We observed that as compress time increases, functional recovery and morphological
regeneration of crushed sciatic nerve needs longer time. Additionally, we showed which
cells are durable in nerve regeneration after crush injury. Nerve regeneration or
recovery depends on trauma durations in which a longer recovery time is needed after
longtime pressure. Although Schwann cells are found to be resistant and this might
be for the cleanup of debris and remyelinization at mild injury, macrophage infiltration
is necessary for the cleanup of damaged fragments of cells and fibers. The result
indicates that a strong relationship exists between nerve damage and subsequent recovery.
This phenomenon may depend on crush severity that is associated with mechanic pressure
and inadequate logistic supports such as malnutrition and hypoxia. Additionally, we
found that the Yasargil aneurysm clip is an appropriate device to perform a standard
experimental severe crush injury model.
KEYWORDS
Yasargil-Phynox aneurysm clip - crush injury - sciatic nerve - axonal regeneration
REFERENCES
- 1
Chen L E, Seaber A V, Urbaniak J R.
The influence of magnitude and duration of crush load on functional recovery of the
peripheral nerve.
J Reconstr Microsurg.
1993;
9
299-306
discussion 306-7
- 2
Rydevik B, Lundborg G.
Permeability of intraneural microvessels and perineurium following acute, graded experimental
nerve compression.
Scand J Plast Reconstr Surg.
1977;
11
179-187
- 3
Anders J J, Borke R C, Woolery S.
Low power laser irradiation alters the rate of regeneration of the rat facial nerve.
Lasers Surg Med.
1993;
13
72-82
- 4
De Koning P, Brakkee J H, Gispen W H.
Methods for producing a reproducible crush in the sciatic and tibial nerve of the
rat and rapid and precise testing of return of sensory function: beneficial effects
of melanocortins.
J Neurol Sci.
1986;
74
237-246
- 5
Sketelj J, Bresjanac M, Popovic M.
Rapid growth of regenerating axons across the segments of sciatic nerve devoid of
Schwann cells.
J Neurosci Res.
1989;
24
153-162
- 6
Zammit P S, Clarke J D, Golding J P, Goodbrand I A, Tonge D A.
Macrophage response during axonal regeneration in the axolotl central and peripheral
nervous system.
Neuroscience.
1993;
54
781-789
- 7
Zochodne D W, Ho L T.
Endoneurial microenvironment and acute nerve crush injury in the rat sciatic nerve.
Brain Res.
1990;
535
43-48
- 8
Tetzlaff W, Leonard C, Krekoski C A, Parhad I M, Bisby M A.
Reductions in motoneuronal neurofilament synthesis by successive axotomies: a possible
explanation for the conditioning lesion effect on axon regeneration.
Exp Neurol.
1996;
139
95-106
- 9
van Meeteren N L, Brakkee J H, Helders P J, Wiegant V M, Gispen W H.
Functional recovery from sciatic nerve crush lesion in the rat correlates with individual
differences in responses to chronic intermittent stress.
J Neurosci Res.
1997;
48
524-532
- 10
Gold B G, Gordon H S, Wang M S.
Efficacy of delayed or discontinuous FK506 administrations on nerve regeneration in
the rat sciatic nerve crush model: lack of evidence for a conditioning lesion-like
effect.
Neurosci Lett.
1999;
267
33-36
- 11
Haveman J, Wondergem J, van Dam W M, van der Kracht A H.
Irradiation of the rat sciatic nerve leads to delayed recovery from function loss
after heat treated or mechanical damage.
Neurosci Res Commun.
1994;
14
1-7
- 12
Swett J E, Hong C Z, Miller P G.
All peroneal motoneurons of the rat survive crush injury but some fail to reinnervate
their original targets.
J Comp Neurol.
1991;
304
234-252
- 13
Beer G M, Steurer J, Meyer V E.
Standardizing nerve crushes with a non-serrated clamp.
J Reconstr Microsurg.
2001;
17
531-534
- 14
Bridge P M, Ball D J, Mackinnon S E et al..
Nerve crush injuries-a model for axontomesis.
Exp Neurol.
1994;
127
284-290
- 15
Sarikcioglu L, Ozkan O.
Yasargil-Phynox aneurysm clip: a simple and reliable device for making a peripheral
nerve injury.
Int J Neurosci.
2003;
113
455-464
- 16
Bain J R, Mackinnon S E, Hunter D A.
Functional evaluation of complete sciatic, peroneal, and posterior tibial nerve lesions
in the rat.
Plast Reconstr Surg.
1989;
83
129-138
- 17
Powell H C, Myers R R.
Pathology of experimental nerve compression.
Lab Invest.
1986;
55
91-100
- 18
Merrington W R, Nathan P W.
A study of postischemic paraesthesia.
J Neurosurg Psychiatry.
1949;
12
1
- 19
Ochoa J, Fowler T J, Gilliatt R W.
Anatomical changes in peripheral nerves compressed by a pneumatic tourniquet.
J Anat.
1972;
113
433-455
- 20
Gelfan S, Tarlov I M.
Physiology of spinal cord, nerve root and peripheral nerve compression.
Am J Physiol.
1956;
185
217-229
- 21
Nissan M, Rochkind S, Ringel M.
Strain-gauged haemostatic forceps for clinical and experimental use.
Med Biol Eng Comput.
1988;
26
448-450
- 22
Dahlin L B, Sjostrand J, McLean W G.
Graded inhibition of retrograde axonal transport by compression of rabbit vagus nerve.
J Neurol Sci.
1986;
76
221-230
- 23
Dahlin L B, Thambert C.
Acute nerve compression at low pressures has a conditioning lesion effect on rat sciatic
nerves.
Acta Orthop Scand.
1993;
64
479-481
- 24
Kajander K C, Pollock C H, Berg H.
Evaluation of hindpaw position in rats during chronic constriction injury (CCI) produced
with different suture materials.
Somatosens Mot Res.
1996;
13
95-101
- 25
Mackinnon S E, Hudson A R, Hunter D A.
Histologic assessment of nerve regeneration in the rat.
Plast Reconstr Surg.
1985;
75
384-388
Dr. Levent Sarikcioglu
Department of Anatomy, Akdeniz University Faculty of Medicine
07070 Antalya, Turkey