NERVE SUTURE

Abstract
It is sometimes necessary during the repair of a peripheral nerve injury to resect an extensive scar, even as much as 3 or 4 inches, before reaching normal funiculi, and it is difficult to make an end-to-end suture even when the nerve segments are freely mobilized and approximated by posture. Huber1has shown experimentally that end-to-end suture is preferable to any form of transplant, but if a transplant becomes necessary, that taken from the same individual and inserted in the form of a cable is the best. This technic has recently been described by Elsberg2and also by Stookey,3a large sensory nerve in the neighborhood of the lesion usually being used for the cable. Clinically, this method of repair has not yielded encouraging results, and Lewis4attributes this to the tendency of the distal line of suture to act as a block to the regenerating