Skip to main content

Advertisement

Log in

Biomechanical comparison of Thiel embalmed and fresh frozen nerve tissue

  • Original Article
  • Published:
Anatomical Science International Aims and scope Submit manuscript

Abstract

The aim of this study was to determine the effect of Thiel embalming on the biomechanical properties of nerve tissue, to validate the use of Thiel embalmed bodies as a reliable model system for obtaining biomechanical data to supplement neurodynamic models, for anesthesiological and neurosurgical training and for future preclinical test set-ups involving nerve tissue. Upon the arrival of a body at the anatomy department, a fresh median nerve was harvested, the harvest site was sutured and following the Thiel embalming procedure the Thiel embalmed median nerve of the opposing wrist was harvested. Micro CT was performed to establish the cross-sectional area and biomechanical tensile testing was performed to compare the Young’s modulus/elasticity of fresh frozen and Thiel embalmed nerves. Thiel embalming did not cause a significant difference in elasticity when comparing Thiel embalmed and fresh frozen specimens. A correlation was found between the cross-sectional area of Thiel embalmed nerve specimens and their Young’s modulus. Thiel embalming does not significantly alter the elasticity of nerve tissue compared to fresh frozen nerve tissue. Similar shapes were observed when comparing the stress/strain curves of both specimen types. This indicates that Thiel embalmed nerve tissue is a viable alternative for using fresh frozen specimens when investigating biomechanical principles/mechanisms. Some specimens showed a reversed trend in Young’s modulus that could be related to slight differences in embalming outcome, so caution is advised when Thiel embalmed specimens are used to obtain raw numerical data for direct application in the clinic.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  • Anderson SD (2006) Practical light embalming technique for use in the surgical fresh tissue dissection laboratory. Clin Anat 19:8–11

    Article  Google Scholar 

  • Babbage CS, Coppieters MW & McGowan CM (2007) Strain and excursion of the sciatic nerve in the dog: biomechanical considerations in the development of a clinical test for increased neural mechanosensitivity. Vet J (London, England: 1997) 174, 330–336.

    Article  Google Scholar 

  • Benkhadra M, Gerard J, Genelot D et al (2011) Is Thiel's embalming method widely known? A world survey about its use. Surg Radiol Anat 33:359–363

    Article  Google Scholar 

  • Bonnin MP, De Kok A, Verstraete M et al (2017) Popliteus impingement after TKA may occur with well-sized prostheses. Knee Surg, Sports Traumatol, Arthrosc: Off J ESSKA 25:1720–1730

    Article  Google Scholar 

  • Bonnin MP, Van Hoof T, De Kok A, et al. (2016) Imaging the implant-soft tissue interactions in total knee arthroplasty. J Exp Orthop 3, 24.

    Article  Google Scholar 

  • Comert A, Kokat AM, Akkocaoglu M, Tekdemir I, Akca K, Cehreli MC (2009) Fresh-frozen vs. embalmed bone: is it possible to use formalin-fixed human bone for biomechanical experiments on implants? Clin Oral Implant Res 20:521–525

    Article  Google Scholar 

  • Faridmehr I, Osman MH, Adnan AB, Nejad AF, Hodjati R, Azimi M (2014) Correlation between engineering stress-strain and true stress-strain curve. Am J Civil Eng Arch 2:53–59

    Article  Google Scholar 

  • Fessel G, Frey K, Schweizer A, Calcagni M, Ullrich O, Snedeker JG (2011) Suitability of Thiel embalmed tendons for biomechanical investigation. Ann Anat 193:237–241

    Article  Google Scholar 

  • Hohmann E, Keough N, Glatt V, Tetsworth K, Putz R, Imhoff A (2018) The mechanical properties of fresh versus fresh/frozen and preserved (Thiel and Formalin) long head of biceps tendons: a cadaveric investigation. Ann Anat 221:186–191

    Article  Google Scholar 

  • Kwan MK, Wall EJ, Massie J, Garfin SR (1992) Strain, stress and stretch of peripheral nerve: Rabbit experiments in vitro and in vivo. Acta Orthop Scand 63:267–272

    Article  CAS  Google Scholar 

  • Liao X, Kemp S, Corner G, Eisma R, Huang Z (2015) Elastic properties of Thiel-embalmed human ankle tendon and ligament. Clin Anat 28:917–924

    Article  Google Scholar 

  • Lien KC, Morgan DM, Jo D, Ashton-Miller JA (2005) Pudendal nerve stretch during vaginal birth: a 3D computer simulation. Am J Obstet Gynecol 192:1669–1676

    Article  Google Scholar 

  • Ma XL, Sun XL, Yang Z et al (2011) Biomechanical properties of peripheral nerve after acellular treatment. Chin Med J 124:3925–3929

    PubMed  Google Scholar 

  • Munirama S, Eisma R, Columb M, Corner GA, McLeod GA (2016) Physical properties and functional alignment of soft-embalmed Thiel human cadaver when used as a simulator for ultrasound-guided regional anaesthesia. Br J Anaesth 116:699–707

    Article  CAS  Google Scholar 

  • Odobescu A, Moubayed SP, Danino MA (2016) Thiel cadaveric nerve tissue: a model for microsurgical simulation. J Brachial Plex Peripher Nerve Inj 11:e18–e20

    Article  Google Scholar 

  • Preece D, Williams SB, Lam R, Weller R (2013) "Let's get physical": advantages of a physical model over 3D computer models and textbooks in learning imaging anatomy. Anat Sci Educ 6:216–224

    Article  Google Scholar 

  • R Core Team (2018) R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. https://www.R-project.org/

  • Schuenke MD, Vleeming A, Van Hoof T, Willard FH (2012) A description of the lumbar interfascial triangle and its relation with the lateral raphe: anatomical constituents of load transfer through the lateral margin of the thoracolumbar fascia. J Anat 221:568–576

    Article  CAS  Google Scholar 

  • Sergi PN, Carrozza MC, Dario P, Micera S (2006) Biomechanical characterization of needle piercing into peripheral nervous tissue. IEEE Trans Bio-Med Eng 53:2373–2386

    Article  Google Scholar 

  • Tellisi N, Ashammakhi NA, Billi F, Kaarela O (2018) Three dimensional printed bone implants in the clinic. J Craniofac Surg 29:2363–2367

    Article  Google Scholar 

  • Thiel W (1992) The preservation of the whole corpse with natural color. Ann Anat 174:185–195

    Article  CAS  Google Scholar 

  • Unger S, Blauth M, Schmoelz W (2010) Effects of three different preservation methods on the mechanical properties of human and bovine cortical bone. Bone 47:1048–1053

    Article  Google Scholar 

  • Van Hoof T, Gomes GT, Audenaert E, Verstraete K, Kerckaert I, D'Herde K (2008) 3D computerized model for measuring strain and displacement of the brachial plexus following placement of reverse shoulder prosthesis. Anat Rec (Hoboken) 291:1173–1185

    Article  Google Scholar 

  • Verstraete MA, Van Der Straeten C, De Lepeleere B, Opsomer GJ, Van Hoof T, Victor J (2015) Impact of drying and thiel embalming on mechanical properties of achilles tendons. Clin Anat 28:994–1001

    Article  Google Scholar 

  • Vollner F, Pilsl U, Craiovan B et al (2017) Stability of knee ligament complex of Thiel-embalmed cadaver compared to in vivo knee. J Mech Behav Biomed Mater 71:392–396

    Article  Google Scholar 

  • Wilke HJ, Krischak S, Claes LE (1996) Formalin fixation strongly influences biomechanical properties of the spine. J Biomech 29:1629–1631

    Article  CAS  Google Scholar 

  • Wilke HJ, Werner K, Haussler K, Reinehr M, Bockers TM (2011) Thiel-fixation preserves the non-linear load-deformation characteristic of spinal motion segments, but increases their flexibility. J Mech Behav Biomed Mater 4:2133–2137

    Article  Google Scholar 

Download references

Acknowledgements

The authors would like to thank Jurgen Deviche for technical assistance. The authors would also like to express their gratitude to the people that donated their body to science.

Funding

Charlotte Debbaut is supported by a postdoctoral fellowship from the Research Foundation Flanders (1202418 N). Tom Van Hoof is supported by a special research fund, starting grant from Ghent University (BOFSTG2018002501).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael E. J. Stouthandel.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Stouthandel, M.E.J., Vanhove, C., Devriendt, W. et al. Biomechanical comparison of Thiel embalmed and fresh frozen nerve tissue. Anat Sci Int 95, 399–407 (2020). https://doi.org/10.1007/s12565-020-00535-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12565-020-00535-1

Keywords

Navigation