The Current State of Hand Transplantation

Shores, Jaimie T.; Imbriglia, Joseph E.; Lee, W.P. Andrew

doi:10.1016/j.jhsa.2011.09.001

Cited by 60 publications

(42 citation statements)

References 34 publications

(37 reference statements)

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“…21 However, the most severe cases, referred to as "mutilating" or "mangled" hands, are relatively infrequent but devastating. 22 Their relatively low incidence in combination with their complex and extensive Plastic and Reconstructive Surgery • November 2015 damage patterns are good reasons why these cases remain a great challenge for the hand surgeon. Although a sequential reconstruction is most often required, the initial operation and decision making are considered crucial for the final therapy outcome.…”

Section: Discussionmentioning

confidence: 99%

Heterotopic Procedures in Mutilating Hand Injuries

Kokkoli

Spyropoulou

Shih

et al. 2015

Plastic and Reconstructive Surgery

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Section: Discussionmentioning

confidence: 99%

Heterotopic Procedures in Mutilating Hand Injuries

Kokkoli

Spyropoulou

Shih

et al. 2015

Plastic and Reconstructive Surgery

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“…The occurrence of PTLD in the case reported herein does not seem to be related to the particular tissue composition of the transplanted part. Among VCA, hand and upper extremity transplantation is now a well-accepted procedure, with a favorable riskbenefit ratio especially in bilateral cases (21). The risk benefit of lower limb transplantation in trans-femoral bilateral amputees has not yet been determined, and it is a subject of debate (8,22).…”

Section: Central Nervous System Posttransplant Lymphoproliferative DImentioning

confidence: 99%

Primary Central Nervous System Posttransplant Lymphoproliferative Disease in a Bilateral Transfemoral Lower Extremity Transplantation Recipient

Cavadas¹,

Thioné²,

Blanes

et al. 2015

American Journal of Transplantation

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“…Maybe in the future the functional results can be improved with the advanced technique of cadaveric tissue transplant, better immunosuppression drugs, or by use of the new more sophisticated prosthesis such as bionic hand [61][62][63][64][65][66][67].…”

Section: Complications and Secondary Surgerymentioning

confidence: 99%

Current management of the mangled upper extremity

Bumbaširević

Stevanović

Lešić

et al. 2012

International Orthopaedics (SICOT)

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Mangled describes an injury caused by cutting, tearing, or crushing, which leads to the limb becoming unrecognizable; in essence, there are two treatment options for mangled upper extremities, amputation and salvage reconstruction. With advances in our understanding of human physiology and basic science, and with the development of new fixation devices, modern microsurgical techniques and the possibility of different types of bony and soft tissue reconstruction, the clinical and functional outcomes are often good, and certainly preferable to those of contemporary prosthetics. Early or even immediate (emergency) complete upper extremity reconstruction appears to give better results than delayed or late reconstruction and should be the treatment of choice where possible. Before any reconstruction is attempted, injuries to other organs must be excluded. Each step in the assessment and treatment of a mangled extremity is of utmost importance. These include radical tissue debridement, prophylactic antibiotics, copious irrigation with a lavage system, stable bone fixation, revascularization, nerve repair, and soft tissue coverage. Well-planned and early rehabilitation leads to a better functional outcome. Despite the use of scoring systems to help guide decisions and predict outcomes, the decision to reconstruct or to amputate still ultimately lies with the surgical judgment and experience of the treating surgeon.

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The Current State of Hand Transplantation

Cited by 60 publications

References 34 publications

Heterotopic Procedures in Mutilating Hand Injuries

Heterotopic Procedures in Mutilating Hand Injuries

Primary Central Nervous System Posttransplant Lymphoproliferative Disease in a Bilateral Transfemoral Lower Extremity Transplantation Recipient

Current management of the mangled upper extremity

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