Epineural versus fascicular neurorrhaphy in peripheral nerve injuries

ABSTRACT

Fifty peripheral nerve injuries have been randomly selected for either microscopic epineural or fascicular neurorrhaphy. The technique of fascicular repair spared central fascicles from sutures. Three cases needed nerve grafting. The British evaluation method for follow up assessment was used. Although the results of fascicular repair were better than those of epineural repair being 89% for the motor recovery and 89.6% for the sensory recovery, yet there was no statistical significant difference between the two groups. Fascicular repair guarantee direct fascicle alignment when they are matched by their size and vascular pattern while in epineural repair, despite a satisfactory exterior appearance, the fascicles are ill matched both for spatial alignment and in the quality of apposition