Abstract
Peripheral nerve injuries are a global challenge, causing long term disabilities to the patient and reducing quality of life. Such injuries are common and frequently require surgical intervention due to the complexity and significance of the injury. Autografts are the current clinical gold standard intervention, however, a major disadvantage exists with donor site morbidity and a lack of donor nerve tissue. Therefore, the use of nerve guide conduits (NGCs) is an attractive alternative approach to treat peripheral nerve injuries. Commercial NGCs are hollow tubes, and also wraps, manufactured from natural or synthetic materials. However, only modest success is reported with these devices, and therefore a need exists to create materials that are more beneficial for reinnervation, combined with more elegant methods for fabricating guidance structures. This chapter reviews current biomaterials used for peripheral nerve repair, both experimentally, clinically and commercially. We also discuss advances in the field, from hollow tube designs to those with complex structures, the use of intraluminal scaffolds, incorporation of growth factors and the use of autologous and allogenic supporting cells to improve nerve regeneration in vivo.
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Acknowledgments
We kindly thank and acknowledge Dr. Jonathan Field for giving permission to use the image of fibers in a NGC (Fig. 4) manufactured from the methods in his PhD thesis “Manufacture, characterisation and in vivo assessment of nerve guidance conduits containing physical guidance cues” (University of Sheffield, U.K) published in White Rose eTheses Online (https://etheses.whiterose.ac.uk).
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Taylor, C.S., Haycock, J.W. (2022). Biomaterials and Scaffolds for Repair of the Peripheral Nervous System. In: Phillips, J.B., Hercher, D., Hausner, T. (eds) Peripheral Nerve Tissue Engineering and Regeneration. Reference Series in Biomedical Engineering(). Springer, Cham. https://doi.org/10.1007/978-3-030-21052-6_3
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