The anatomy of the saphenous and sural nerves as a source of processed nerve allografts.

Abstract

As an alternative to autologous nerve donors, acellular nerve allografts (ANAs) have been studied in many experiments. There have been numerous studies on processing ANAs and various studies on the clinical applications of ANA, but there have not been many studies on sources of ANAs. The purposes of the present study were to evaluate the course of the saphenous and sural nerves in human cadavers and help harvest auto- or allografts for clinical implications. Eighteen lower extremities of 16 fresh cadavers were dissected. For the saphenous nerve and sural nerve, the distances between each branch and the diameters at the midpoint between each branch were measured. In the saphenous nerve, the mean length between each branch ranged from 7.2 to 28.6cm, and the midpoint diameter ranged from 1.4 to 3.2mm. In the sural nerve, the mean length between each branch ranged from 17.4 to 21cm, and the midpoint diameter ranged from 2.3 to 2.8mm. The present study demonstrates the length of the saphenous and sural nerve without branches with diameters larger than 1mm. With regard for the clinical implications of allografts, the harvest of a selective nerve length with a large enough diameter could be possible based on the data presented in the present study.