107. Attitudes and Beliefs Towards Upper Extremity Donation in The United States

Abstract

if the repair was loose, we tightened the second weave. Six-month post-transplant functional outcomes reflect substantial improvements, including range of motion, grip strength, Carroll's test (right, 61 vs. 20 pre-transplant; left, 58 vs. 13 pre-transplant), and Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire (37 vs. 90 pretransplant). One-year post-transplant functional outcomes are forthcoming. Conclusion:Hand transplantation is an evolving practice, but there remains a lack of consensus on tendon tensioning, which is critical to optimize patient outcomes. We describe our approach, its development, and accompanying rationale. It was successfully executed in the context of a full face and bilateral hand transplant. The initial wrist extensor repairs are foundational, and sequential repair of opposing tendon groups facilitates balanced tensioning. Finishing with the digital extensors, which have the shortest excursion, is recommended.

What is needed to ensure long-term sustainability for the field of vascularized composite allotransplantation?

“…Public awareness of VCA is low and perceptions of VCA are more reserved compared to that for solid organs [37][38][39][40]. Even among VCA grafts, more prominently visual parts like face transplants fare worse than do hand transplants.…”