Efficacy and safety of novel collagen conduits filled with collagen filaments to treat patients with peripheral nerve injury: a multicenter, controlled, open-label clinical trial

Publication date: Available online 13 March 2018
Source:Injury
Author(s): Masaomi Saeki, Kenji Tanaka, Junya Imatani, Hideki Okamoto, Kentaro Watanabe, Toshiyasu Nakamura, Hiroyuki Gotani, Hiroyuki Ohi, Ryogo Nakamura, Hitoshi Hirata
IntroductionThe safety and efficacy of using artificial collagen nerve conduits filled with collagen filaments to treat nerve defects has not been fully studied in humans. We conducted a multicenter, controlled, open-label study to compare the safety and efficacy of artificial nerve conduit grafts with those of autologous nerve grafts.MethodsWe included patients with a sensory nerve defect of ≤30 mm, at the level of the wrist or a more distal location, with the first-line surgical methods selected according to a patient's preference. We compared sensory recovery using static two-point discrimination and adverse events between the artificial collagen nerve conduit and autologous nerve grafting.ResultsThe artificial nerve conduit group included 49 patients, with a mean age of 42 years and nerve defect of 12.6 mm. The autologous nerve graft group included 7 patients, with historical data of an additional 31 patients, with a mean age of 36 years and nerve defect of 18.7 mm. The rate of recovery of sensory function at 12 months was 75% (36/49) for the artificial nerve conduit group and 73.7% (28/38) in the autologous nerve group. No serious adverse events directly associated with use of the artificial nerve conduit were identified.ConclusionsThe treatment of nerve defects ≤30 mm using artificial collagen nerve conduits was not inferior to treatment using autologous nerve grafts. Based on our data, the new artificial collagen nerve conduit can provide an alternative to autologous nerve for the treatment of peripheral nerve defects.



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