دورية أكاديمية
Indian Subcontinent’s First Bilateral Supracondylar Level Upper Limb Transplantation
| العنوان: | Indian Subcontinent’s First Bilateral Supracondylar Level Upper Limb Transplantation |
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| المؤلفون: | Mohit Sharma, Subramania Iyer, Kishore P., Jimmy Mathew, Janarthanan R., Nirav Maharaja, Swapnil Dhake, Akshay Omkumar, Thomas Joe, Dimpy Sharma, Radhika Kapathia, Ankita Harijee, Srilekha Reddy, Jerry Paul, Sunil Rajan, George Kurian, Zacharia Paul, Druvan Shaji, Balu C. Babu, Anubhav Sharma |
| المصدر: | Indian Journal of Plastic Surgery, Vol 52, Iss 03, Pp 285-295 (2019) |
| بيانات النشر: | Thieme Medical Publishers, Inc., 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Surgery |
| مصطلحات موضوعية: | bilateral hand transplantation, hand transplantation, indian hand transplantation, supracondylar hand transplantation, vascularized tissue allotransplantation, Surgery, RD1-811 |
| الوصف: | Introduction This is the first case of supracondylar level transplant from the Indian subcontinent, performed for a bilateral below elbow amputee. It has a completely different set of challenges for the transplant team, with a relatively shorter ischemia time window. The technical considerations for the same have been discussed in detail in this article. Materials and Methods The patient was a 19-year-old female who lost her both upper limbs at proximal forearm level due to severe crush injury following a road traffic accident. Insufficient bone length on either side necessitated a supracondylar level transplant. The preoperative workup included detailed clinical evaluation, biochemical, and psychological evaluation. The donor was a young brain-dead, male patient from a hospital, 30 minutes away. The donor and recipient preparations in this case were unique. The recipient’s own elbow flexors and extensors were used while the elbow joint was from the donor. The specific challenges we faced during this procedure have been described in detail. Results The transplantation has been a complete technical success, with the patient rehabilitated back to her independent life style. This article describes only the technical considerations. The functional recovery aspect is part of an another soon to be published manuscript. Conclusion Supracondylar level arm-transplant requires a highly coordinated team effort with precise preoperative planning, along with meticulous attention to detail to achieve a successful outcome. In properly selected patients, it could be a life-changing procedure, worth all the effort. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0970-0358 1998-376X 0039-3401 |
| Relation: | https://doaj.org/toc/0970-0358; https://doaj.org/toc/1998-376X |
| DOI: | 10.1055/s-0039-3401466 |
| URL الوصول: | https://doaj.org/article/2871f2d408744bf1ab41d5530e9192a3 |
| رقم الأكسشن: | edsdoj.2871f2d408744bf1ab41d5530e9192a3 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 09700358 1998376X 00393401 |
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| DOI: | 10.1055/s-0039-3401466 |