The effect of long-term denervation on neuromuscular recovery was stud
ied in a rat hind limb model. The posterior tibial nerve was transecte
d and repaired immediately or after denervation periods of 2 weeks, or
1, 3, 6, 9, or 12 months. Six months following reconstruction excelle
nt axonal regeneration was seen across all nerve repairs irrespective
of periods of denervation. However, ?here was a precipitous and profou
nd decrease in the recovery of both muscle mass and integrated motor f
unction if the reconstruction was delayed for longer than 1 month. Rat
her than a progressive change proportional to the length of the denerv
ation period, significant, more discrete changes occurred sometime aft
er 1 month of denervation that precluded a full recovery of muscle mas
s. Integrated motor function quantified using walking track analysis w
as impaired even after immediate nerve repair. (C) 1997 John Wiley & S
ons, Inc.