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J Reconstr Microsurg 2012; 28(01): 27-34
DOI: 10.1055/s-0031-1285820
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Technical Aspects of the Recipient Operation in Hand Transplantation

Kodi K. Azari
1   Division of Plastic Surgery, Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California
,
Joseph E. Imbriglia
2   Department of Orthopedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
,
Robert J. Goitz
2   Department of Orthopedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
,
Jaimie T. Shores
3   Division of Plastic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
,
Marshall L. Balk
2   Department of Orthopedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
,
Gerald Brandacher
4   Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Stephan Schneeberger
4   Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Vijay Gorantla
2   Department of Orthopedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
,
W.P. Andrew Lee
4   Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
› Author Affiliations
Further Information

Publication History

04 February 2011

08 March 2011

Publication Date:
02 August 2011 (online)

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Abstract

The goal of hand allotransplantation is to achieve graft survival and useful long-term function. To achieve these goals, precise surgical technique is of critical importance. The key surgical steps and sequence of events in hand allotransplantation are similar to major upper extremity replantations, but are modified to accommodate major conceptual differences that exist between the two procedures.

Keywords

hand transplantation - surgical technique - recipient operation
 

  • References

  • 1 Kleinert HE, Jablon M, Tsai TM. An overview of replantation and results of 347 replants in 245 patients. J Trauma 1980; 20 (5) 390-398
    CrossrefPubMedGoogle Scholar
  • 2 Dubernard JM, Owen E, Herzberg G et al. Human hand allograft: report on first 6 months. Lancet 1999; 353 (9161) 1315-1320
    CrossrefPubMedGoogle Scholar
  • 3 Jones JW, Gruber SA, Barker JH, Breidenbach WC. Louisville Hand Transplant Team. Successful hand transplantation. One-year follow-up. N Engl J Med 2000; 343 (7) 468-473
    CrossrefPubMedGoogle Scholar
  • 4 Schneeberger S, Ninkovic M, Gabl M et al. First forearm transplantation: outcome at 3 years. Am J Transplant 2007; 7 (7) 1753-1762
    CrossrefPubMedGoogle Scholar
  • 5 Margreiter R, Brandacher G, Ninkovic M, Steurer W, Kreczy A, Schneeberger S. A double-hand transplant can be worth the effort!. Transplantation 2002; 74 (1) 85-90
    CrossrefPubMedGoogle Scholar
  • 6 Piza-Katzer H, Ninkovic M, Pechlaner S, Gabl M, Ninkovic M, Hussl H. Double hand transplantation: functional outcome after 18 months. J Hand Surg [Br] 2002; 27 (4) 385-390
    PubMedGoogle Scholar
  • 7 Schneeberger S, Ninkovic M, Margreiter R Hand transplantation: the Innsbruck experience In: Hewitt CW, Lee WPA, , eds. Transplantation of Composite Tissue Allografts. New York: : Springer; ; 2008. :234–250
    Crossref
  • 8 Cavadas PC, Landin L, Ibañez J. Bilateral hand transplantation: result at 20 months. J Hand Surg Eur Vol 2009; 34 (4) 434-443
    CrossrefPubMedGoogle Scholar
  • 9 Labana N, Messer T, Lautenschlager E, Nagda S, Nagle D. A biomechanical analysis of the modified Tsuge suture technique for repair of flexor tendon lacerations. J Hand Surg [Br] 2001; 26 (4) 297-300
    CrossrefPubMedGoogle Scholar
  • 10 Chang J, Jones N. Twelve simple maneuvers to optimize digital replantation and revascularization. Tech Hand Up Extrem Surg 2004; 8 (3) 161-166
    CrossrefPubMedGoogle Scholar