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Related Concept Videos

Tissue Transplantation01:24

Tissue Transplantation

Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...

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Related Experiment Video

Updated: Jul 11, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
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Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

Published on: May 23, 2025

[Hand allografts: experience from Lyon team].

A Gazarian1, D-O Abrahamyan, P Petruzzo

  • 1Chirurgie de la main et du membre supĂ©rieur, clinique du Parc, 155, boulevard Stalingrad, 69006 Lyon, France. a.gazarian@cliniqueduparclyon.com

Annales De Chirurgie Plastique Et Esthetique
|October 2, 2007
PubMed
Summary

Hand allografting, a clinical trial for traumatic amputees, shows promising sensorimotor recovery and social adaptation. Despite manageable complications, this composite tissue allotransplantation offers better outcomes than prostheses.

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Area of Science:

  • Transplantation immunology
  • Reconstructive surgery
  • Clinical experimentation

Context:

  • Hand allografting is an experimental treatment for bilateral traumatic amputees in France.
  • Pioneering experience from the Lyon team is detailed, involving seven hand transplantations between 1998 and 2007.
  • The study focuses on patients with amputations at the wrist or mid-forearm, with a significant delay since hand loss.

Purpose:

  • To report the Lyon team's experience with hand allografting in traumatic amputees.
  • To evaluate the clinical, analytical, and functional outcomes of hand transplantation.
  • To assess the safety and efficacy of immunosuppressive protocols in composite tissue allotransplantation.

Summary:

  • Four patients underwent seven hand transplantations, with bilateral cases showing favorable evolution and good to excellent sensorimotor recovery.
  • Acute rejections were managed effectively with oral prednisone and topical immunosuppressants; no severe long-term complications were noted.
  • Functional recovery in bilateral recipients surpassed outcomes from myoelectric prostheses, indicating the potential of hand allografting.

Impact:

  • Hand allografting demonstrates potential as a viable treatment option for traumatic hand loss, offering superior functional restoration compared to current prosthetics.
  • The study supports the advancement of composite tissue allotransplantation (CTA) research and clinical application.
  • Encouraging results warrant further long-term research and global monitoring to establish authorization criteria and understand CTA mechanisms.