“…Although the risk/benefit ratio in unilateral cases is doubtful, there is agreement in that hand transplantation may be indicated in bilateral amputees. The theoretical indication in above-elbow amputations has been, however, typically questioned (14). The case reported herein shows a 2-year follow-up of a trans-humeral bilateral transplantation, and to the best of the authors´knowledge, no similar report has been published before.…”