Our Summary

This research paper discusses the functional outcomes of a patient who had a double hand transplant at the mid-forearm level, and was followed up over a period of 3.5 years. The researchers used a variety of tests and measures to evaluate the patient’s progress, including assessments of arm, shoulder, and hand disability, a hand transplant score system, a health survey, and standard occupational therapy measures.

After 3.5 years, the patient’s scores on these measures were fairly stable, indicating that the transplants were functioning well. Despite this, the patient was able to function independently and was happy with the results of the surgery.

The researchers suggest that using a variety of measures can help to give a more detailed picture of a patient’s progress after a hand transplant. They also propose setting certain milestones in the patient’s recovery to help provide a clearer understanding of their progress.

However, they caution that these measures may not fully capture a patient’s subjective experience and satisfaction with the transplant. Therefore, it’s important to consider both objective measures and the patient’s own perspective when evaluating the success of hand transplants.

FAQs

  1. What methods were used by the researchers to track the patient’s progress after the double hand transplant?
  2. What does the stability in the patient’s scores indicate about the success of the hand transplants?
  3. Why do the researchers stress the importance of considering both objective measures and the patient’s own perspective in evaluating the success of hand transplants?

Doctor’s Tip

One helpful tip a doctor might give a patient undergoing a hand transplant is to follow a strict rehabilitation and therapy regimen to maximize the function and strength of the transplanted hands. This may include physical therapy, occupational therapy, and regular follow-up appointments to monitor progress and address any issues that may arise. Additionally, it is important for the patient to communicate openly with their medical team about any concerns or changes they may experience with their transplanted hands. By actively participating in their recovery and following medical advice, patients can increase their chances of a successful outcome after a hand transplant.

Suitable For

Patients who are typically recommended for hand transplants are those who have experienced severe hand injuries or loss of function due to trauma, burns, congenital deformities, or other medical conditions. These patients should have exhausted all other treatment options and have a strong desire to regain hand function.

Additionally, candidates for hand transplants should be in good overall health and have realistic expectations about the risks and benefits of the procedure. They should also have a strong support system in place to help them through the recovery process.

Overall, patients who are recommended for hand transplants are those who have a strong motivation to regain hand function and are willing to commit to the intensive rehabilitation process that is required after the surgery.

Timeline

Before the hand transplant:

  • Patient undergoes extensive medical evaluations to determine eligibility for a hand transplant
  • Patient undergoes psychological evaluations to assess their mental readiness for the procedure
  • Patient is placed on a waiting list for a suitable donor
  • Patient undergoes the hand transplant surgery, which can take several hours
  • Patient undergoes post-operative care and rehabilitation to help with recovery and adaptation to the new hands

After the hand transplant:

  • Patient begins intensive therapy to regain function and strength in the transplanted hands
  • Patient may experience complications such as rejection or infection, which require medical intervention
  • Patient continues therapy and rehabilitation to improve hand function and adapt to the new hands
  • Patient gradually regains sensation and motor function in the transplanted hands
  • Patient may need ongoing medical follow-up and therapy to monitor the success of the transplant and address any issues that may arise.

What to Ask Your Doctor

Some questions a patient should ask their doctor about hand transplant may include:

  1. What are the potential risks and complications associated with a hand transplant?
  2. How long is the recovery process expected to take, and what can I expect during this time?
  3. Will I need to take immunosuppressant medications for the rest of my life after the transplant?
  4. What kind of rehabilitation and therapy will be necessary post-transplant to ensure optimal functionality?
  5. How will the success of the transplant be measured, and what kind of outcomes can I expect in terms of function and mobility?
  6. Are there any specific lifestyle changes or adjustments I will need to make following the transplant?
  7. How often will I need to follow up with the transplant team for monitoring and care?
  8. What kind of support can I expect from the medical team throughout the transplant process and beyond?
  9. Are there any long-term considerations or potential complications I should be aware of as a recipient of a hand transplant?
  10. How will the transplant impact my daily activities, work, and overall quality of life in the long term?

Reference

Authors: Singh M, Sisk G, Carty M, Sampson C, Blazar P, Dyer G, Earp B, Pribaz J, Pomahac B, Talbot SG. Journal: Plast Reconstr Surg. 2016 Jan;137(1):185-189. doi: 10.1097/PRS.0000000000001872. PMID: 26710022