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
MILLER EM. NERVE SUTUREAN EXPERIMENTAL STUDY TO DETERMINE THE STRENGTH OF THE SUTURE LINE. Arch Surg. 1921;2(1):167–175. doi:10.1001/archsurg.1921.01110040176010
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