Long‐term neural regeneration following injury to the peroneal branch of the sciatic nerve in sheep

Abstract

Peripheral nerves (PNs) are frequently injured as a result of trauma or disease. Development of therapies to regenerate PNs requires the use of animal models, typically beginning in rodents and progressing to larger species. There are several large animal models of PN regeneration that each has their benefits and drawbacks. Sheep have been used in PN studies due to their similarities in body weight to humans and the ease and lesser expense in their care and housing relative to other species. We have investigated the use of sheep for studies of PN regeneration and have developed and tested an injury model in the peroneal branch of the sciatic nerve. Three experimental groups were tested on mature sheep: a bisection; a 5‐cm reverse autograft; and sham surgery. Protocols were developed for the post‐operative care for animals with this injury, and regeneration was tracked for extended time points via compound muscle action potentials (CMAPs) and endpoint assessments of nerve morphometry, muscle mass and muscle fibrosis. Results indicate the practical viability of this PN injury model and show distinctions in the degree and rate of regeneration between bisection and reverse autograft that persisted 14 months. This long‐term study shows bisections lead to significantly improved CMAPS and muscle mass and lesser muscle fibrosis as compared to reverse autograft. The persistence of these discernable changes between two relatively similar experimental groups out to extended time points is an indication of the sensitivity of this nerve section and its potential applicability for comparative studies.

Establishment of a Sheep Model for Hind Limb Peripheral Nerve Injury: Common Peroneal Nerve

“…Additionally, considering the decrease in the diameter of the nerve in more distal positions, the internal diameter of the NGC used would be too large to allow a correct accommodation and suture of the nerve inside it and would make it difficult to accommodate the NGC between the muscles. The third initially considered surgical technique was also promptly disregarded due to the technical difficulties associated with its performance, even considering that this technique has already been used in other works [53]: Not only would the caudal access require great mobilization and trauma for the separation of the semitendinosus and semimembranosus muscles, but the exposure of the nerve would be minimal, hampering the performance of the nerve damage through the surgical window between the musculature.…”

Repair of Long Nerve Defects with a New Decellularized Nerve Graft in Rats and in Sheep

“…This nerve is the most commonly affected in injuries involving the lower limb in humans [ 41 , 43 ]. Moreover, it is adequate because it is similar in size and plurifasciular, as is the human peroneal nerve, and induces a limited motor deficit that still allows the animals to stand and walk [ 20 , 44 ]. Since the common peroneal nerve is a mixed nerve, both motor and sensory functional loss in the denervated targets is expected [ 45 ].…”

Establishment of a Sheep Model for Hind limb Peripheral Nerve Injury: Common Peroneal Nerve

“…Additionally, considering the decrease in the diameter of the nerve in more distal positions, the internal diameter of the NGC used would be too large to allow a correct accommodation and suture of the nerve inside it and would make it difficult to accommodate the NGC between the muscles. The third initially considered surgical technique was also promptly disregarded due to the technical difficulties associated with its performance, even considering that this technique has already been used in other works (72): not only would the caudal access require great mobilization and trauma for the separation of the semitendinosus and semimembranosus muscles, but the exposure of the nerve would be minimal, hampering the performance of the nerve damage through the surgical window between the musculature.…”