Neurovascular-anastomosed muscle grafts in rabbits: functional deficits result from tendon repair.

In rabbits, 9 g rectus femoris (RFM) muscles were grafted with tendon repair and with (1) nerves and blood vessels intact, (2) nerves intact and blood vessels anastomosed, or (3) nerves and blood vessels anastomosed. The influences of tendon, nerve, and vascular repair on the functional capabilities of grafts were compared 15-120 days after grafting. Data were collected on the mass, total protein content, oxidative capacity, maximum force development, and fatigability of grafts and control RFM muscles. When stabilized 90-120 days after grafting, mean values for the three types of grafts were not significantly different. Compared with values for control RFM muscles, each type of graft had significantly lower mean values for mass, total protein content, and maximum force, but the grafts were more resistant to fatigue. In RFM grafts, nerve and vascular repair do not contribute significantly to the impairments. Consequently, tendon repair appears to be responsible for the major functional deficits.