[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.146.184.210. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
January 1921

NERVE SUTUREAN EXPERIMENTAL STUDY TO DETERMINE THE STRENGTH OF THE SUTURE LINE

Author Affiliations

CHICAGO
From the Surgical Department of Rush Medical College.

Arch Surg. 1921;2(1):167-175. doi:10.1001/archsurg.1921.01110040176010
Abstract

It is sometimes necessary during the repair of a peripheral nerve injury to resect an extensive scar, even as much as 3 or 4 inches, before reaching normal funiculi, and it is difficult to make an end-to-end suture even when the nerve segments are freely mobilized and approximated by posture. Huber1 has shown experimentally that end-to-end suture is preferable to any form of transplant, but if a transplant becomes necessary, that taken from the same individual and inserted in the form of a cable is the best. This technic has recently been described by Elsberg 2 and also by Stookey, 3 a large sensory nerve in the neighborhood of the lesion usually being used for the cable. Clinically, this method of repair has not yielded encouraging results, and Lewis 4 attributes this to the tendency of the distal line of suture to act as a block to the regenerating

First Page Preview View Large
First page PDF preview
First page PDF preview
×