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Journal of Hand Surgery (British and European Volume)
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The Effects of Postoperative Continuous Passive Motion on Peripheral Nerve Repair and Regeneration

An experimental investigation in rabbits

H. K. W. KIM
R. G. KERR
C. B. TURLEY
P. J. EVANS
V. JAY
R. B. SALTER

From the Hospital for Sick Children Research Institute and the Division of Orthopaedic Surgery, University of Toronto, Toronto, Canada

Correspondence: Dr H K W. Kjm. Shriners Hospital for Children, Tampa Unit. Tampa. Florida 33612–9499, USA.

The effects of continuous passive motion (CPM) on nerve regeneration following nerve repair were investigated. In 26 rabbits, the medial popliteal nerve was transected and microsurgically repaired. Half of the animals were treated with cast immobilization and the rest with 70° arc CPM. Both treatments were discontinued on day 14. After sacrifice on day 100, no animal showed separation at the suture line. Mean nerve conduction velocity was slightly slower in the CPM than in the immobilization group. Mean fibre density was also slightly less in the CPM group but the difference was not significant. Mean fibre diameters, fibre diameter distributions, and soleus-muscle wet weights were similar in the two groups.

Journal of Hand Surgery (British and European Volume), Vol. 23, No. 5, 594-597 (1998)
DOI: 10.1016/S0266-7681(98)80008-9
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