Nerve allotransplantation as it pertains to composite tissue transplantation

Amy M. Moore, Wilson Z. Ray, Kristofer E. Chenard, Thomas Tung, Susan E. Mackinnon

Research output: Contribution to journalArticle

33 Scopus citations

Abstract

Nerve allografts provide a temporary scaffold for host nerve regeneration and allow for the repair of significant segmental nerve injuries. From rodent, large animal, and nonhuman primate studies, as well as clinical experience, nerve allografts, with the use of immunosuppression, have the capacity to provide equal regeneration and function to that of an autograft. In contrast to solid organ transplantation and composite tissue transfers, nerve allograft transplantation requires only temporary immunosuppression. Furthermore, nerve allograft rejection is difficult to assess, as the nerves are surgically buried and are without an immediate functional endpoint to monitor. In this article, we review what we know about peripheral nerve allograft transplantation from three decades of experience and apply our current understanding of nerve regeneration to the emerging field of composite tissue transplantation.

Original languageEnglish
Pages (from-to)239-244
Number of pages6
JournalHand
Volume4
Issue number3
DOIs
StatePublished - Apr 8 2009

Keywords

  • Composite tissue transplantation
  • Immunosuppression
  • Nerve allotransplantation

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