title: Surgical and technical aspects of hand transplantation: is it just another replant?
abstract: The ultimate goal of hand allotransplantation is to achieve graft survival and useful long-term function. To achieve these goals, selection of the appropriate patient, detailed preoperative planning, and precise surgical technique are of paramount importance. Transplantation should be reserved for motivated consenting adults in good general heath, who are psychologically stable and have failed a trial of prosthetic use. While the key surgical steps of transplantation are similar to those of replantation, there are major differences. This article describes the steps in hand allotransplantation, and the importance of patient selection as well as preoperative and postoperative care.
authors: Division of Plastic Surgery, Department of Orthopedic Surgery, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA 90095, USA. tristanhartzell@gmail.com
authors: Tristan L
authors: TL
authors: Hartzell
authors: Prosper
authors: P
authors: Benhaim
authors: Joseph E
authors: JE
authors: Imbriglia
authors: Jaimie T
authors: JT
authors: Shores
authors: Robert J
authors: RJ
authors: Goitz
authors: Marshall
authors: M
authors: Balk
authors: Scott
authors: S
authors: Mitchell
authors: Roee
authors: R
authors: Rubinstein
authors: Vijay S
authors: VS
authors: Gorantla
authors: Stefan
authors: S
authors: Schneeberger
authors: Gerald
authors: G
authors: Brandacher
authors: W P Andrew
authors: WP
authors: Lee
authors: Kodi K
authors: KK
authors: Azari
mesh_terms: D000673:Amputation, Traumatic / Q000601:surgery; D058752:Free Tissue Flaps; D006225:Hand / Q000294:innervation; D006230:Hand Injuries / Q000601:surgery; D063987:Hand Transplantation; D006488:Hemostasis, Surgical; D006801:Humans; D016377:Organ Transplantation / Q000379:methods*; D010348:Patient Care Team; D011182:Postoperative Care; D019651:Plastic Surgery Procedures / Q000379:methods; D012092:Replantation; D013708:Tendon Injuries / Q000601:surgery; D014184:Transplantation, Homologous