Elective cross-hand transfer with thumb transposition: case report.
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.
Cavadas
Pedro C
PC
Reconstructive Surgery, Clínica Cavadas, Valencia, Spain. pcavadas@clinicacavadas.es
Ibañez
Javier
J
Landin
Luis
L
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*