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[Bilateral hand transplantation].

H Piza-Katzer1, H Hussl, M Ninković

  • 1Universitäts-Klinik für Plastische und Wiederherstellungschirurgie, Innsbruck, Osterreich. hildegunde.piza@uibk.ac.at

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|June 20, 2002
PubMed
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This study reports a successful bilateral hand transplantation in a patient who lost both hands. The patient regained significant function, enabling daily living independence and return to work.

Area of Science:

  • Reconstructive surgery
  • Transplantation immunology

Background:

  • Patient with bilateral hand loss due to bomb accident explored hand transplantation despite myoelectric prostheses.
  • Ethical, surgical, medical, legal, and human aspects were discussed in a symposium, leading to a decision to proceed with transplantation for a suitable candidate.

Observation:

  • A 47-year-old policeman underwent bilateral hand transplantation in March 2000.
  • The surgical procedure was successful, and the post-operative course was uneventful.
  • The patient received a well-planned immunosuppressive regimen.

Findings:

  • Intensive physical therapy led to gradual but steady recovery of sensory and motor functions in the transplanted hands.
  • Two years post-operation, the patient achieved practical independence in daily activities.

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  • The patient was able to return to his job.

    • Implications:

    • Bilateral hand transplantation is a viable reconstructive option for patients with severe hand loss.
    • Successful outcomes require meticulous surgical planning, appropriate immunosuppression, and dedicated rehabilitation.
    • This case highlights the potential for restoring function and improving quality of life through advanced surgical interventions.