Assessment and Planning for a Pediatric Bilateral Hand Transplant Using 3-Dimensional Modeling: Case Report

“…In a case of an 8-year-old child with bilateral hand surgical amputation, Galvez et al [57] selected the most appropriate size for hand transplantation using 3D printed models from different potential donors for which they determined depending on size hands and forearms matching between donor and recipient.…”

Section: Orthopedic Fixatives Orthoses and Prosthesesmentioning

confidence: 99%

Three-dimensional technologies used for patient specific applications in orthopedics

Moldovan

Bățagă

2021

Acta Marisiensis - Seria Medica

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Background: Three-dimensional (3D) technologies have numerous medical applications and have gained a lot of interest in medical world. After the advent of three-dimensional printing technology, and especially in last decade, orthopedic surgeons began to apply this innovative technology in almost all areas of orthopedic traumatic surgery. Objective: The aim of this paper is to give an overview of 3D technologies current usage in orthopedic surgery for patient specific applications. Methods: Two major databases PubMed and Web of Science were explored for content description and applications of 3D technologies in orthopedic surgery. It was considered papers presenting controlled studies and series of cases that include descriptions of 3D technologies compatible with applications to human medical purposes. Results: First it is presented the available three-dimensional technologies that can be used in orthopedic surgery as well as methods of integration in order to achieve the desired medical application for patient specific orthopedics. Technology starts with medical images acquisition, followed by design, numerical simulation, and printing. Then it is described the state of the art clinical applications of 3D technologies in orthopedics, by selecting the latest reported articles in medical literature. It is focused on preoperative visualization and planning, trauma, injuries, elective orthopedic surgery, guides and customized surgical instrumentation, implants, orthopedic fixators, orthoses and prostheses. Conclusion: The new 3D digital technologies are revolutionizing orthopedic clinical practices. The vast potential of 3D technologies is increasingly used in clinical practice. These technologies provide useful tools for clinical environment: accurate preoperative planning for cases of complex trauma and elective cases, personalized surgical instruments and personalized implants. There is a need to further explore the vast potential of 3D technologies in many other areas of orthopedics and to accommodate healthcare professionals with these technologies, as well as to study their effectiveness compared to conventional methods.

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“…Ideally, patients should be between the ages of 18 and 65 years old; however, in July 2015, we performed a bilateral hand transplantation on an 8-year old boy who was a prior kidney transplant recipient with excellent results at 2.5 years follow-up. 1,15,26 Pediatric patient selection for hand transplantation. The various challenges of upper extremity transplantation in children include psychological assessment, informed consent, greater surgical risk, special surgical considerations to optimize complementary growth of the donor and recipient extremities, greater risk of complications from immunosuppression due to longer potential life years, 2,32 lack of objective functional and quality of life assessment tools and compliance with the exhaustive rehabilitation demands.…”

Section: The Author's Current Protocol For Patient Selectionmentioning

confidence: 99%

Building a Hand and Upper Extremity Transplantation Program: Lessons Learned From the First 20 Years of Vascularized Composite Allotransplantation

Mendenhall

Brown

Ben‐Amotz

et al. 2018

Hand (New York, N,Y.)

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Over the past 20 years, significant progress has been made in upper extremity transplantation although a number of challenges remain including how to best document and share outcome measures, optimize immunosuppression, and diagnose/treat rejection. The authors encourage upper extremity transplant programs to report their experience and protocols to advance hand transplantation as standard of care for properly selected individuals.

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Assessment and Planning for a Pediatric Bilateral Hand Transplant Using 3-Dimensional Modeling: Case Report

Cited by 30 publications

References 5 publications

Designing and utilizing 3D-printed skin incision guides during the first Dutch bilateral hand-arm transplantation

Designing and utilizing 3D-printed skin incision guides during the first Dutch bilateral hand-arm transplantation

Three-dimensional technologies used for patient specific applications in orthopedics

Building a Hand and Upper Extremity Transplantation Program: Lessons Learned From the First 20 Years of Vascularized Composite Allotransplantation

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