Lancet Child Adolesc Health
September 2017
Background: Although heterologous vascular composite allotransplantation has become a burgeoning treatment option for adult amputees, there have been no successful cases previously reported in children. Here, we describe the surgical, immunological, and neurorehabilitation details with functional outcomes 18 months after heterologous bilateral hand and forearm transplantation in an 8-year-old child with quadrimembral amputations and a previous kidney transplant.
Methods: 2 years of extensive preparation by medical and surgical teams preceded the hand-forearm transplantation of this child.