Hand transplantation

Brian T. Carlsen, Hatem Amer, Steve L. Moran

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Since the first hand transplantation was performed more than a decade ago, much has been learned about the risks and benefits of this procedure. It is now clear that the procedure is technically possible and the transplanted hand will survive with appropriate immunosuppression. While controversy remains, there is increasing acceptance of the procedure in appropriately selected patients. Technically, the procedure is similar to replantation of an amputated hand with some important distinctions: no zone of injury, more skin for coverage, and important challenges with recipient and donor muscle tensioning. Acute rejection is common but manageable with steroids and modification of immunosuppressive therapy. Quantifying function is challenging, as no perfect measure exists. However, outcome measures assessed are quite favorable but require an intense hand therapy program. There are unique psychosocial considerations in this patient population, and careful patient selection is critical to a successful outcome.

Original languageEnglish (US)
Pages (from-to)331-335
Number of pages5
JournalCurrent Orthopaedic Practice
Volume23
Issue number4
DOIs
StatePublished - Jul 1 2012

Keywords

  • Amputation
  • Composite tissue allotransplantation
  • Hand transplantation
  • Vascularized composite allotransplantation

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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