Motor versus sensory neuron regeneration through collagen tubules.

Differences in regeneration of sensory and motor nerves were studied in rats to determine the effects of entubulation with collagen conduits. The rat sciatic nerve was repaired either with a 10-mm saline-filled gap or with a no-gap end-to-end repair cuffed within collagen tubules. These repairs were compared with the standard epineurial repairs. The populations of regenerated motor and sensory neurons in the peroneal nerves of all repairs were compared against the populations of normal peroneal neurons using horseradish peroxidase retrograde labeling. The epineurial repair resulted in regeneration of 65 percent (409 +/- 150) of motor neurons and 79 percent (2127 +/- 516) of sensory neurons (n = 6). The no-gap end-to-end repair in a collagen tubule resulted in regeneration of 53 percent (338 +/- 203) of motor and 70 percent (1893 +/- 794) of sensory neurons (n = 7). In the 10-mm gap repair, only 6.2 percent (39 +/- 18) of motor neurons but 63 percent (1710 +/- 557) of sensory neurons regenerated (n = 5). These results show that collagen entubulation supports nerve regeneration in end-to-end nerve repairs comparably to standard epineurial suture repairs. With the 10-mm gap repairs in collagen tubules, sensory neurons regenerated consistently better than motor neurons in the same environment. Therefore, intrinsic differences exist between motor and sensory neuron regeneration in the same nerve.