Requirements for the development of a hand transplantation program

Chad R. Gordon, Maria Siemionow

Research output: Contribution to journalArticlepeer-review

32 Scopus citations


Since 1998, 42 hand transplants in 30 patients have been performed in countries such as France, United States, China, Austria, Malaysia, Italy, Belgium, Poland, Spain, and Germany. Now, with recent improvements in immunosuppression, the clinical applicability may expand and the ethical obstacles may soon be overcome, allowing multiple US institutions to perform hand allotransplantation. The main purpose of this article is to facilitate access to pertinent details in regards to hand transplantation, such as donor/recipient selection criteria, immunosuppressive therapies, and associated complications. It is a comprehensive literature review compiled from published reports from multiple hand transplant programs throughout the world. Due to its inherent complexity, hand transplantation should only be attempted at institutions within the US capable of orchestrating a specialized multidisciplinary team, and each institution's protocol should be extremely detailed and individualized.

Original languageEnglish (US)
Pages (from-to)262-273
Number of pages12
JournalAnnals of plastic surgery
Issue number3
StatePublished - Sep 1 2009
Externally publishedYes


  • Composite tissue allograft
  • Composite tissue transplantation
  • Donor selection
  • Hand transplant
  • Hand transplantation program
  • Immunosuppression
  • Recipient selection
  • Recovery process
  • Transplant rejection

ASJC Scopus subject areas

  • Surgery


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