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>Journals >Cirujano General >Year 2013, Issue S2

Iglesias M, Butrón P, Alberú-Gómez J, Leal P, Jáuregui L, Zamudio J, Santander S, Ricaño D, Bravo RL, Rodríguez E, Cervantes R
The importance of not remaining with folded arms: upper extremity transplantation
Cir Gen 2013; 35 (S2)

Language: Español
References: 18
Page: 133-138
PDF: 4. Kb.

Full text


Upper extremity (UE) transplantation is called composite vascularized allograft. They are considered an emerging surgical reconstruction of the UE. Even when they are in clinical experimental stage, these have proven to offer better quality of life for patients and allowing them to be independent. Up to 2012, 51 patients underwent hand transplantation or UE transplantation. Thirty of them were unilateral and 21 were bilateral. However, rare are the cases transplanted at proximal forearm or arm. The main reason is the prolonged nerve regeneration. We describe the first successful proximal forearm transplant performed in Mexico. This is a 52-year-old male, who suffered amputation of both UE, at level of the proximal third of the forearm as a result of an electrical burn. The transplant was performed on May 18, 2012. Induction treatment was with anti-thymocyte globulin at a dosage of 1.5 mg/kg/day for 5 days. The maintenance immunosuppressive treatment is with prednisone, tacrolimus and mycophenolate mofetil. Four months after transplantation, he began with the mobility of the extrinsic muscles and at eleven months with the mobility of the intrinsic muscles. Also at 11 months post-transplant, he has heat-cold discrimination in both hands. Currently the patient can eat prepared food, bathe, get dressed with difficulty, brush his teeth and write. The end result should be evaluated in the third year post-transplant.

Key words: Transplant, vascularized allograft, hand transplant, upper limb transplant.


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>Journals >Cirujano General >Year 2013, Issue S2

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