Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Sign In to gain access to subscriptions and/or personal tools.
Journal of Hand Surgery (European Volume)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
1753193409102898v1
34/4/434    most recent
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by CAVADAS, P. C.
Right arrow Articles by IBAÑEZ, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by CAVADAS, P. C.
Right arrow Articles by IBAÑEZ, J.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Articles

Bilateral Hand Transplantation: Result at 20 Months

P. C. CAVADAS
L. LANDIN
J. IBAÑEZ

From the Clinica Cavadas, Valencia, Spain

Correspondence: Pedro C. Cavadas, MD, PhD, Clinica Cavadas, Paseo Facultades 4, 46021 Valencia, Spain. Tel.: +34 963628861; fax: +34 963628870. E-mail:pcavadas{at}clinicacavadas.es.

On November 2006, a bilateral hand allotransplantation was performed for a 47-year-old female who had suffered radiocarpal amputations 28 years before. Technical aspects of the operation are detailed. Alemtuzumab induction, and triple therapy of tacrolimus, mycophenolate mofetil and prednisone were used to control rejection. The evolution of the result and functioning at 20 months are presented in detail. Two acute rejection episodes occurred and were successfully treated with steroids. In addition the patient developed a factitious visual disorder and a facial basal cell carcinoma. Functionally, at 20 months, the patient had a Hand Registry Functional Score of 69 (good), and a DASH score of 19.

Key Words: hand transplantation • composite tissue allotransplantation • alemtuzumab • immunosuppression therapy • acute rejection • C4d

This version was published on August 1, 2009

Journal of Hand Surgery (European Volume), Vol. 34, No. 4, 434-443 (2009)
DOI: 10.1177/1753193409102898
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?