The use of the cutaneous saphenous nerve as a source of nerve graft material in the dog (the use of the CSN as a graft)

P. Moissonnier; O. Vigneron; Y. Duchossoy

doi:10.1055/s-0038-1632680

Veterinary and Comparative Orthopaedics and Traumatology, Table of Contents

Vet Comp Orthop Traumatol 2001; 14(02): 84-89
DOI: 10.1055/s-0038-1632680

Original Research

Schattauer GmbH

The use of the cutaneous saphenous nerve as a source of nerve graft material in the dog (the use of the CSN as a graft)

Authors

P. Moissonnier

¹DMV, Ph.D. ECVS, Professor, Service de Chirurgie, Ecole Nationale Vétérinaire d’AIfort, Maisons Alfort, France
O. Vigneron

²Service de Chirurgie, Ecole Nationale Vétérinaire d’AIfort, Maisons Alfort, France
Y. Duchossoy

³Laboratoire de Neurobiologie, URA CNRS 1448, UFR ßiomédicale des Saints Pères, Université René Descartes, Paris, France

Abstract

This paper analyses the feasibility of using the cutaneous saphenous nerve (CSN) as a source of peripheral nerve graft (PNG). In 34 fresh dog cadavers, the PNG length (PNGL) was measured, pattern of collateralization was studied, fascicles diameter and number were assessed at multiple levels along the length of the CSN (levels of section A, B, C and D) and surgical approach was described. The PNGL was correlated to femoral length. The pattern of CSN collateralization was consistent for all but 2 of the dogs. The average cross section diameter and fascicle number of the CSN was 2.0 to 0.1 mm (1 to 7 fascicles). CSN provides a large-sized, easily accessible nerve graft that could be used to bridge nerve gaps in the dog.

Keywords

Nerve graft - saphenous nerve - dog

Full Text

References

REFERENCES
1 Bailey CS, Kitchell RL, Haghighi SS, Johnson RD. Spinal nerve root origins of the cutaneous nerves of the canine pelvic limb. Am J Vet Res 1988; 09: 115-9.
2 Bradley RL, Withrow SJ, Snyder SP. Nerve sheath tumors in the dog. J Am Anim Hosp Assoc 1982; 18: 915-21.
3 Gibson KL, Daniloff JK. Peripheral nerve repair. Comp on Cont Ed Pract Vet 1989; 11: 938-45.
4 Gilmore DR. Sciatic nerve injury in twenty nine dogs. J Am Anim Hosp Assoc 1984; 20: 403-7.
5 Hohn RB. Surgical approaches to the canine hip. Anim Hospit 1968; 143: 21-9.
6 Kanaya F, Firrell J, Tsai T-M, Breidenbach WC. Functional results of vascularized versus nonvascularized nerve grafting. Plastic and Reconstr Surg 1992; 89: 924-30.
7 Kitchell RL, Evans HE. The spinal nerves in Miller’s Anatomy of the dog. Evans HE. (eds) 3d Ed. Philadelphia: WB Saunders; 1993: 828-93.
8 Mackinnon SE, Hudson AR, Hunter DA, Trued S. Nerve regeneration in the rat model. Periph Nerve Repair Regen 1986; 01: 41-8.
9 Moissonnier P. Les tumeurs des nerfs périphériques chez les carnivores. Le Point Vét 1990; 22: 5-15.
10 Moissonnier P. Chirurgie du système nerveux périphérique. Encyclopédie vétérinaire, Paris, Neurochirurgie 1992; 100: 1-5.
11 Narakas J. Les greffes nerveuses: experience clinique. Ann Chir de la Main 1989; 08: 302-11.
12 Privat JM, Finiels PJ. Traumatismes des nerfs périphériques, in Neurochirurgie. Decq P, Kéravel Y. (eds). Marketing/ Ellipses Ed. Paris: 1995: 610-21.
13 Raffe MR. Peripheral nerve injuries in the dog (Part I). Comp Cont Ed Pract Vet 1979; 01: 207-10.
14 Raffe MR. Peripheral nerve injuries in the dog (Part II). Comp Cont Ed Pract Vet 1979; 01: 269-76.
15 Rodkey WG. Peripheral nerve surgery. In Texbook of small animal surgery. Slatter D. (eds) 2° Ed. Philadelphia: WB Saunders; 1995: 1135-41.
16 Ross D, Mackinnon SE, Chang Y-L. Intraneural anatomy of the median nerve provides “third web space” donor graft. J Reconstr Microsurg 1992; 08: 225-32.
17 Seddon HJ. Peripheral nerve injuries. Medical Research Council (SRS) 1954; 282.
18 Simpson ST, Kornegay JN, Raffe MR. Surgical diseases of peripheral nerves. In Textbook of small animal surgery. Slatter D. (eds). Philadelphia: WB Saunders; 1985: 1335-53.
19 Sunderland S, Ray LJ. The selection and use of autografts for bridging gaps in injured nerves. Brain 1947; 70: 75-82.
20 Swaim SF. Peripheral nerve injury in the dog. J Am Vet Med Assoc 1972; 161: 905-11.
21 Targett MP, Dyce J, Houlton JEF. Tumours involving the nerve sheaths of the forelimb in dogs. J Small Anim Pract 1993; 34: 221-5.
22 Tomita Y. Intercostal nerve transfer in brachial plexus injuries: an experimental study. Microsurg 1983; 04: 95-104.
23 Wheeler SJ, Clayton-Jones DG, Wright JA. The diagnosis of brachial plexus disorders in dogs: a review of twenty-two cases. J Small Anim Pract 1986; 27: 147-57.