title: Hand Allograft Saved by an Ultrathin Groin Flap.
abstract: We report a case of a young double-hand allotransplant patient who presented with a full-thickness skin necrosis of the dorsum of the left hand after vascular compromise of the allotransplantation. Considering the lack of viable dorsal tissue overlying the extensor tendons and the need for early hand rehabilitation, an ultrathin pedicled groin flap was used for the coverage. This procedure resulted in salvaging the allotransplantation, and the patient was able to successfully return to work after his surgery. To our knowledge, this is the only case of an upper extremity allotransplant salvaged by a pedicled flap.
authors.affiliation: Plastic, Reconstructive and Aesthetic Department, Croix-Rousse Hospital, Hospices Civils de Lyon, France; Hand Surgery Department, Clinique du Parc, Lyon, France; Transplantation Surgery Department, Edouard Herriot Hospital, Lyon, France; and the §Plastic Surgery Department, Mayo Clinic, Rochester, Minn.
authors.forename: Joseph
authors.initials: J
authors.lastname: Château
authors.affiliation: Plastic, Reconstructive and Aesthetic Department, Croix-Rousse Hospital, Hospices Civils de Lyon, France; Hand Surgery Department, Clinique du Parc, Lyon, France; Transplantation Surgery Department, Edouard Herriot Hospital, Lyon, France; and the §Plastic Surgery Department, Mayo Clinic, Rochester, Minn.
authors.forename: Aram
authors.initials: A
authors.lastname: Gazarian
authors.affiliation: Plastic, Reconstructive and Aesthetic Department, Croix-Rousse Hospital, Hospices Civils de Lyon, France; Hand Surgery Department, Clinique du Parc, Lyon, France; Transplantation Surgery Department, Edouard Herriot Hospital, Lyon, France; and the §Plastic Surgery Department, Mayo Clinic, Rochester, Minn.
authors.forename: Fabien
authors.initials: F
authors.lastname: Boucher
authors.affiliation: Plastic, Reconstructive and Aesthetic Department, Croix-Rousse Hospital, Hospices Civils de Lyon, France; Hand Surgery Department, Clinique du Parc, Lyon, France; Transplantation Surgery Department, Edouard Herriot Hospital, Lyon, France; and the §Plastic Surgery Department, Mayo Clinic, Rochester, Minn.
authors.forename: Lionel
authors.initials: L
authors.lastname: Badet
authors.affiliation: Plastic, Reconstructive and Aesthetic Department, Croix-Rousse Hospital, Hospices Civils de Lyon, France; Hand Surgery Department, Clinique du Parc, Lyon, France; Transplantation Surgery Department, Edouard Herriot Hospital, Lyon, France; and the §Plastic Surgery Department, Mayo Clinic, Rochester, Minn.
authors.forename: Fabienne
authors.initials: F
authors.lastname: Braye
authors.affiliation: Plastic, Reconstructive and Aesthetic Department, Croix-Rousse Hospital, Hospices Civils de Lyon, France; Hand Surgery Department, Clinique du Parc, Lyon, France; Transplantation Surgery Department, Edouard Herriot Hospital, Lyon, France; and the §Plastic Surgery Department, Mayo Clinic, Rochester, Minn.
authors.forename: Michel
authors.initials: M
authors.lastname: Saint-Cyr
authors.affiliation: Plastic, Reconstructive and Aesthetic Department, Croix-Rousse Hospital, Hospices Civils de Lyon, France; Hand Surgery Department, Clinique du Parc, Lyon, France; Transplantation Surgery Department, Edouard Herriot Hospital, Lyon, France; and the §Plastic Surgery Department, Mayo Clinic, Rochester, Minn.
authors.forename: Ali
authors.initials: A
authors.lastname: Mojallal