title: Elective cross-hand transfer with thumb transposition: case report.
abstract: An elective case of cross-transfer of the right hand to the left distal forearm stump is reported in a long-standing left radial-carpal amputee who developed a contralateral cerebrovascular accident with severe right-sided spasticity. The thumb column of the right hand was transposed to the ulnar side of the hand as a free flap to improve the appearance of the transferred hand, the tendons were reciprocally repaired, the nerves were connected to permit correct cortical sensory reorientation, and a modified Sauvé-Kapandji procedure was performed to allow for forearm rotation. The functional and cosmetic result was satisfactory for the patient, allowing him to regain independence in activities of daily living.
authors.affiliation: Reconstructive Surgery, Clínica Cavadas, Valencia, Spain. pcavadas@clinicacavadas.es
authors.forename: Pedro C
authors.initials: PC
authors.lastname: Cavadas
authors.forename: Javier
authors.initials: J
authors.lastname: Ibañez
authors.forename: Luis
authors.initials: L
authors.lastname: Landin
mesh_terms: D000671:Amputation, Surgical; D000672:Amputation Stumps / Q000601:surgery*; D063987:Hand Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D010291:Paresis / Q000209:etiology / Q000601:surgery*; D020521:Stroke / Q000150:complications*