Technical and Surgical Details of Hand Transplantation

  • Milomir Ninkovic


Achievement of survival and useful function in allotransplantation of the upper extremity is the main goal in the treatment of amputees. Experience in replantation surgery was prerequisite for successful application of this technique in the new field of allotransplantation. The first successful replantation of an amputated arm was reported in 1962 by Malt and McKhann [1], and Komatsu and Tamai [2] performed the first successful digital replantation in 1968. Since then, a large number of replantations have been undertaken all over the world with an increased number of parts surviving. With more experience, surgeons have rightly turned their attention to function, the foremost consideration in all surgery of the hand [3, 4].


Skin Flap Flexor Tendon Extensor Tendon Tendon Transfer Nerve Repair 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Malt AR, McKhann FC (1964) Replantation of severed arms. JAMA 189:716PubMedGoogle Scholar
  2. 2.
    Komatsu S, Tamai S (1968) Successful replantation of a completely cut-off thumb. Plast Reconstr Surg 42:375–376CrossRefGoogle Scholar
  3. 3.
    Chow AJ, Bilos JZ, Chunprapaph B et al (1983) Forearm replantation — long-term functional results. Ann Plast Surg 10:15–23PubMedCrossRefGoogle Scholar
  4. 4.
    Kleinert EH, Jablon M, Tsai T (1980) An overview of replantation and results of 347 replants in 245 patients. J Trauma 20:390–398PubMedCrossRefGoogle Scholar
  5. 5.
    Piza-Katzer H, Ninkovic M, Pechlaner S et al (2002) Double hand transplantation functional outcome after 18 months. J Hand Surg [Br] 27:385–390CrossRefGoogle Scholar
  6. 6.
    Piza-Katzer H, Hussl H, Ninkovic M et al (2002) Beidseitige Handtransplantation. Handchir Mikrochir Plast Chir 34:75–83PubMedCrossRefGoogle Scholar
  7. 7.
    Margreiter R, Brandacher G, Ninkovic M et al (2002) A double-hand transplant can be worth the effort! Transplantation 74:85–90PubMedCrossRefGoogle Scholar
  8. 8.
    Dubernard JM, Owen E, Herzberg G et al (1999) Human hand allograft report on first 6 months. Lancet 17:1315–1320CrossRefGoogle Scholar
  9. 9.
    Jones JW, Gruber SA, Barker JH, Breidenbach WC (2000) Successful hand transplantation. One-year follow up. N Engl J Med 7:468–472CrossRefGoogle Scholar
  10. 10.
    Petruzzo P, Revillard JP, Kanitakis J et al (2003) First human double hand transplantation efficacy of a conventional immunosuppressive protocol. Clin Transplant 17:455–460PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • Milomir Ninkovic
    • 1
  1. 1.Department of Plastic, Reconstructive and Hand Surgery Burn Centre Hospital BogenhausenTechnical University of MunichMunichGermany

Personalised recommendations