First two bilateral hand transplantations in India (Part 3): Rehabilitation and immediate outcome
Introduction: This report covers the strategies adopted for rehabilitation for the first and second dual hand transplants performed in India. Materials and Methods: The team, under a trained physiatrist, including physiotherapy and occupational therapy personnel, was involved in the management of bo...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2017-05-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_95_17 |
| _version_ | 1819181996859981824 |
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| author | Mohit Sharma Subramania Iyer P. Kishore Jimmy Mathew Sundeep Vijayaraghavan Ravi Sankaran Arun N. Nair R. Janarthanan Abhijeet Wakure Raghuveer Reddy S. M. Chetan Mali Visakh Varma Ashish Chaudhari Swapnil Dhake Akshay Omkumar |
| author_facet | Mohit Sharma Subramania Iyer P. Kishore Jimmy Mathew Sundeep Vijayaraghavan Ravi Sankaran Arun N. Nair R. Janarthanan Abhijeet Wakure Raghuveer Reddy S. M. Chetan Mali Visakh Varma Ashish Chaudhari Swapnil Dhake Akshay Omkumar |
| author_sort | Mohit Sharma |
| collection | DOAJ |
| description | Introduction: This report covers the strategies adopted for rehabilitation for the first and second dual hand transplants performed in India. Materials and Methods: The team, under a trained physiatrist, including physiotherapy and occupational therapy personnel, was involved in the management of both these patients. The management protocol was developed considering previous reports as well as our management strategies in the rehabilitation of the replanted hands. The involvement of the team with the patients started in the 1st week itself and continued on a daily basis for the entire year. Results: Outcome analysis was performed at 6 months and 1 year using the disability of shoulder and hand evaluation and hand transplant scoring system. Functional magnetic resonance imaging was done at the end of 1 year to assess the cortical integration of the transplanted hand. Conclusion: Despite more than 110 hands being transplanted worldwide, hand transplant remains an experimental procedure. It is still not considered the “standard of care” for hand amputees. Outcome analyses performed worldwide do indicate that the procedure can provide a substantial improvement in the quality of life for the hand amputee, especially the bilateral amputees. |
| first_indexed | 2024-12-22T22:39:07Z |
| format | Article |
| id | doaj.art-2e2ebc05c0d24d70b99bba5139f2d453 |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-12-22T22:39:07Z |
| publishDate | 2017-05-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-2e2ebc05c0d24d70b99bba5139f2d4532022-12-21T18:10:14ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2017-05-01500216116710.4103/ijps.IJPS_95_17First two bilateral hand transplantations in India (Part 3): Rehabilitation and immediate outcomeMohit Sharma0Subramania Iyer1P. Kishore2Jimmy Mathew3Sundeep Vijayaraghavan4Ravi Sankaran5Arun N. Nair6R. Janarthanan7Abhijeet Wakure8Raghuveer Reddy9S. M. Chetan Mali10Visakh Varma11Ashish Chaudhari12Swapnil Dhake13Akshay Omkumar14Department of Plastic and Reconstructive Surgery, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Kochi, Kerala, IndiaDepartment of Physical Medicine and Rehabilitation, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Physical Medicine and Rehabilitation, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Kochi, Kerala, IndiaIntroduction: This report covers the strategies adopted for rehabilitation for the first and second dual hand transplants performed in India. Materials and Methods: The team, under a trained physiatrist, including physiotherapy and occupational therapy personnel, was involved in the management of both these patients. The management protocol was developed considering previous reports as well as our management strategies in the rehabilitation of the replanted hands. The involvement of the team with the patients started in the 1st week itself and continued on a daily basis for the entire year. Results: Outcome analysis was performed at 6 months and 1 year using the disability of shoulder and hand evaluation and hand transplant scoring system. Functional magnetic resonance imaging was done at the end of 1 year to assess the cortical integration of the transplanted hand. Conclusion: Despite more than 110 hands being transplanted worldwide, hand transplant remains an experimental procedure. It is still not considered the “standard of care” for hand amputees. Outcome analyses performed worldwide do indicate that the procedure can provide a substantial improvement in the quality of life for the hand amputee, especially the bilateral amputees.http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_95_17composite tissue allotransplantationdisability of shoulder and handhand transplant scoring systemrehabilitation after hand transplantationvascularised composite allotransplantation |
| spellingShingle | Mohit Sharma Subramania Iyer P. Kishore Jimmy Mathew Sundeep Vijayaraghavan Ravi Sankaran Arun N. Nair R. Janarthanan Abhijeet Wakure Raghuveer Reddy S. M. Chetan Mali Visakh Varma Ashish Chaudhari Swapnil Dhake Akshay Omkumar First two bilateral hand transplantations in India (Part 3): Rehabilitation and immediate outcome Indian Journal of Plastic Surgery composite tissue allotransplantation disability of shoulder and hand hand transplant scoring system rehabilitation after hand transplantation vascularised composite allotransplantation |
| title | First two bilateral hand transplantations in India (Part 3): Rehabilitation and immediate outcome |
| title_full | First two bilateral hand transplantations in India (Part 3): Rehabilitation and immediate outcome |
| title_fullStr | First two bilateral hand transplantations in India (Part 3): Rehabilitation and immediate outcome |
| title_full_unstemmed | First two bilateral hand transplantations in India (Part 3): Rehabilitation and immediate outcome |
| title_short | First two bilateral hand transplantations in India (Part 3): Rehabilitation and immediate outcome |
| title_sort | first two bilateral hand transplantations in india part 3 rehabilitation and immediate outcome |
| topic | composite tissue allotransplantation disability of shoulder and hand hand transplant scoring system rehabilitation after hand transplantation vascularised composite allotransplantation |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_95_17 |
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