[Clinical application of skeleton reconstruction in human hand allograft].
OBJECTIVE
To study and summarize the clinical experience and significance of the skeleton reconstruction of human hand allografts.


METHODS
From January 2001 to October 2003, human hand allografts were applied to treat 4 cases of traumatic hand defect (6 hands) at different levels. During operation, the ulna and radius were reduced anatomically and fixed firmly with 3.5 mm AO-plates and screws according to AO internal fixation principle. The X-ray films were taken periodically and the function recovery of hand allografts was observed and estimated.


RESULTS
The 4 cases were followed up for 4-36 months postoperatively. The clinical healing of fracture in 4 cases (6 hands) was achieved after 9 weeks, and by means of comprehensive assessment including the joint function, muscle strength, sensation, appearance, sequela and the ability of work, the satisfactory effects were gained eventually.


CONCLUSIONS
It is significant for human hand allografts to reconstruct skeleton firmly.
Yang
Chenglin
C
Department of Orthopaedics, First Affiliated Hopital of Harbin Medical University, Harbin Heilongjiang 150001, P R China.
Shao
Ming
M
Zhang
Xinying
X
D000328:Adult; D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D005500:Follow-Up Studies; D005543:Forearm Injuries / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006230:Hand Injuries / Q000601:surgery; D063987:Hand Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011884:Radius / Q000601:surgery*; D014184:Transplantation, Homologous; D014457:Ulna / Q000601:surgery*; D055815:Young Adult