World Experience After More Than a Decade of Clinical Hand Transplantation: Update on the Innsbruck Program

被引:56
|
作者
Hautz, Theresa
Engelhardt, Timm O. [3 ]
Weissenbacher, Annemarie
Kumnig, Martin [4 ]
Zelger, Bettina [5 ]
Rieger, Michael [6 ]
Rumpold, Gerhard [4 ]
Pierer, Gerhard [3 ]
Ninkovic, Marina [2 ]
Gabl, Markus [7 ]
Piza-Katzer, Hildegunde [3 ]
Pratschke, Johann
Margreiter, Raimund
Brandacher, Gerald [8 ]
Schneeberger, Stefan [1 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Plast & Reconstruct Surg, Baltimore, MD 21287 USA
[2] Innsbruck Med Univ, Dept Visceral Transplant & Thorac Surg, Ctr Operat Med, Unit Phys Med & Rehabil, A-6020 Innsbruck, Austria
[3] Innsbruck Med Univ, Dept Plast Reconstruct & Aesthet Surg, Ctr Operat Med, A-6020 Innsbruck, Austria
[4] Innsbruck Med Univ, Div Med Psychol, Dept Psychiat & Psychotherapy, A-6020 Innsbruck, Austria
[5] Innsbruck Med Univ, Dept Pathol, A-6020 Innsbruck, Austria
[6] Innsbruck Med Univ, Dept Radiol, A-6020 Innsbruck, Austria
[7] Innsbruck Med Univ, Ctr Operat Med, Dept Trauma Surg & Sports Med, A-6020 Innsbruck, Austria
[8] Johns Hopkins Univ, Sch Med, Dept Plast & Reconstruct Surg, Baltimore, MD 21205 USA
关键词
Hand transplantation; Composite tissue; Rejection; Immunosuppression; Outcome; Psychological aspects; FOREARM TRANSPLANTATION; INTERNATIONAL REGISTRY; ORGAN-TRANSPLANTATION; QUESTIONNAIRE TXEQ; 1ST; COMPLICATIONS; INSTRUMENT; REJECTION; OPTIMISM;
D O I
10.1016/j.hcl.2011.07.004
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Patients who have lost a hand or upper extremity face many challenges in everyday life. For some patients, reconstructive hand transplantation represents a reasonable option for anatomic reconstruction, restoring prehensile function with sensation and allowing them to regain daily living independence. The first clinical case of bilateral hand transplantation at University Hospital Innsbruck was realized on March 17th, 2000. A decade later, a total of 7 hands and forearms were transplanted in 4 patients. This article review the clinical courses of 3 bilateral hand transplant recipients and highlights psychological aspects on reconstructive hand transplantation with special regard to unilateral/bilateral transplantation.
引用
收藏
页码:423 / +
页数:10
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