Selection of Candidates and Waiting List, Dealing with the Media and the Public, Setting Up a Pilot Study, Clinical Trial Organization, Staff Requisites for Hand Transplantation: The Brussels Experience

  • Frédéric Schuind
  • Carlo Van Holder
  • Daniel Abramowicz


Hand transplantation is controversial and raises serious ethical issues. Many hand surgeons remain critical, fearing the complications of immunosuppression and considering that the indications of hand transplantation are few, if any. In contrast to these pessimistic views, the world experience of hand transplantation has been quite rewarding, raising much enthusiasm [1]–[22]. Based on our experience of one successful hand transplantation in Brussels (Fig. 1), [23], and based on the international registry of hand transplantation [22], we are now better able to define the indications and contraindications of this exceptional procedure. We will then discuss the clinical organisation to successfully achieve a hand transplantation.


Transplant Proc Human Hand Transplantation Team Extrinsic Muscle Composite Tissue 
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Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • Frédéric Schuind
    • 1
  • Carlo Van Holder
    • 2
  • Daniel Abramowicz
    • 3
  1. 1.Department of Orthopaedics and TraumatologyErasme University Hospital Medical School of the Université libre de BruxellesBruxellesBelgium
  2. 2.Department of Plastic SurgeryOLV Lourdes ZiekenhuisWaregemBelgium
  3. 3.Department of NephrologyErasme University Hospital Medical School of the Université libre de BruxellesBruxellesBelgium

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