Indian Subcontinent's First Proximal Forearm Level Double Upper Extremity Transplantation.

Vascularized composite allotransplantation (VCA) has added another step to the reconstructive ladder, leading to a paradigm shift in the approach toward management of cases of upper limb amputations. In this article, we discuss in detail the technical aspects of proximal forearm level transplantation, as well as the immediate posttransplant monitoring and immunosuppression protocols. A 24-year-old male victim of an electric injury presented with a bilateral proximal forearm level amputation.