2007
DOI: 10.1016/j.bjps.2006.06.014
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Peripheral nerve repair by means of a flexible biodegradable glass fibre wrap: A comparison with microsurgical epineurial repair

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Cited by 56 publications
(56 citation statements)
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“…Nerve tissue is particularly sensitive to changes in the ionic content of extracellular fluids, and after injury the consequential fluctuations cause Ca excitotoxicity and necrosis in adjacent (uninjured) nerve tissues [15][16][17][18]. This secondary damage occurring at and around the injury site significantly impedes the regeneration and reconnection of nerves, and over distances greater than 5 mm, the reconnection does not occur and functionality is not fully recovered [11,15,[24][25][26][27][28][29]. Standard treatment of nerve injury involves the administration of Methylprednisolone Sodium Succinate (MPSS) to reduce the inflammatory response, which addresses only one of the many impediments encountered by regenerating axons after injury [27,[30][31][32].…”
Section: Introductionmentioning
confidence: 99%
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“…Nerve tissue is particularly sensitive to changes in the ionic content of extracellular fluids, and after injury the consequential fluctuations cause Ca excitotoxicity and necrosis in adjacent (uninjured) nerve tissues [15][16][17][18]. This secondary damage occurring at and around the injury site significantly impedes the regeneration and reconnection of nerves, and over distances greater than 5 mm, the reconnection does not occur and functionality is not fully recovered [11,15,[24][25][26][27][28][29]. Standard treatment of nerve injury involves the administration of Methylprednisolone Sodium Succinate (MPSS) to reduce the inflammatory response, which addresses only one of the many impediments encountered by regenerating axons after injury [27,[30][31][32].…”
Section: Introductionmentioning
confidence: 99%
“…This secondary damage occurring at and around the injury site significantly impedes the regeneration and reconnection of nerves, and over distances greater than 5 mm, the reconnection does not occur and functionality is not fully recovered [11,15,[24][25][26][27][28][29]. Standard treatment of nerve injury involves the administration of Methylprednisolone Sodium Succinate (MPSS) to reduce the inflammatory response, which addresses only one of the many impediments encountered by regenerating axons after injury [27,[30][31][32]. Recent studies have shown that bioactive glasses have the potential to encourage nerve regeneration after injury through mechanical guidance and delivery of growth factors [27,28,33].…”
Section: Introductionmentioning
confidence: 99%
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“…Research into these materials began with the development of 45S5 Bioglass , discovered in 1969 by Professor Larry Hench, which was found to partially degrade in vivo, allowing for the deposition of a hydroxyl-carbonate apatite (HCA) layer essential to the glass bonding and integration with host tissue when implanted into the body [1]. 45S5 is one of many bioactive glasses that can elicit this response where the key compositional element is 45-60 mol% SiO 2 [2,3] which produces a random network of SiO 2 tetrahedra where some oxygen (O) atoms lack a Si-O BO -Si bonding configuration (bridging oxygen, BO). These non-bridging oxygen (NBO) atoms are instead bound to one Si atom and a modifying element (R) Si-O NBO -R, where the ratio of BO/NBO < 1 has been found necessary to allow glass degradation and bioactivity [4,5].…”
Section: Introductionmentioning
confidence: 99%
“…[2,3] Through compositional modifications, a bioactive glass can be developed that addresses the Ca 2+ accumulation and oxidative stresses that are imposed on nerve tissue after damage; the first is the replacement of Ca 2+ in the glass network with Sr 2+ . Sr 2+ is an ion of similar charge and size to Ca 2+ , has been shown to serve the same network role in bioactive glasses (as a network modifier), encourages bone growth, and is metabolized through the same channels in the body as Ca 2+ [7,31].…”
Section: Introductionmentioning
confidence: 99%