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Updated: May 18, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
New concepts and technologies in reconstructive hand surgery
Taliah Schmitt1, John Talley, James Chang
1Division of Plastic & Reconstructive Surgery, Department of Surgery, Stanford University Hospital & Clinics, 770 Welch Road, Suite 400, Palo Alto, CA 94304, USA. DrTSchmitt@gmail.com
Abstract:
Complex traumatic injuries and degenerative conditions of the hand continue to lead to significant impairment and disability. From technical innovations to regenerative concepts, this article presents the latest advances in the dynamic field of hand surgery in which worldwide efforts are made around the globe to repair, regenerate, or restore each composite tissue forming the hand. The systematic method by which finger replantation is performed, from bony fixation to skin closure, provides a platform for discussion of the newest innovations available to reconstructive hand surgeons.

