Wrist level and proximal-upper extremity replantation
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Updated: Jul 15, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
Douglas P Hanel1, Simon H Chin
1Section of Hand and Microvascular Surgery, Department of Orthopaedics and Sports Medicine, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104-6499, USA. dhanel@u.washington.edu
Abstract:
Since Malt and McKhan's first successful arm replantation in 1962, upper extremity replantation surgery techniques have been refined and spread worldwide. Nevertheless, replantation at or proximal to the wrist, referred to as wrist-proximal replants, remains a daunting challenge that presents the hand surgeon with an array of difficulties distinct from digital replantation.
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