A5003563410- Organ and Tissue Transplantation Research
- Reconstructive Surgery and Microvascular Techniques
- Organ Donation and Transplantation
- Bone fractures and treatments
- Ethics and Legal Issues in Pediatric Healthcare
- Reconstructive Facial Surgery Techniques
- Orthopedic Surgery and Rehabilitation
- Social Robot Interaction and HRI
- Transplantation: Methods and Outcomes
University of Pennsylvania
2016-2023
Hospital of the University of Pennsylvania
2023
Children's Hospital of Philadelphia
2016-2020
Philadelphia University
2015-2020
Université Paris Cité
2018
University of Pennsylvania Health System
2015
Hand transplantation requires precise preoperative planning and surgical execution. Coordinating a transplant team-including surgeons, anesthesiologists, nurses, supporting staff-is time-sensitive challenge when donor-recipient match is confirmed. International human limb occurs the recipient donor are in separate countries. The authors describe logistics behind first transatlantic adult bilateral hand transplantation, which, to date, required highest level of coordination timing. authors'...
Vascularized composite allotransplantion requires careful planning and precise execution. The Director of the Hand Transplant Program must coordinate many personnel including nurses, anesthesiologists, transplant coordinators, surgeons, support staff, hospital administrators. operation is performed only after surgical rehearsal has reinforced specialized role each these team members workflow equipment been optimized.
Background: In 2015, the first bilateral pediatric hand-forearm transplant was performed in an 8-year-old boy. The growth rate of transplanted upper extremities unknown at time. Methods: Forearm and hand radiographs were obtained annually. Radius ulna measurements by multiple coauthors mathematically normalized using a standardized methodology. Greulich Pyle atlas used to estimate bone age. Results: From July 2015 2019, unadjusted length (metaphysis metaphysis) increased 38.8 39.6 mm for...
Osseointegration (OI), targeted muscle reinnervation (TMR), and vascularized composite allotransplantation (VCA) are just a few ways by which our reconstructive ladder is evolving. It important to recognize that amputation does not necessarily denote failure, but surgeons should strive find provide these patients with means for obtaining better satisfaction quality of life postoperatively. TMR OI have added options mutilating lower extremity injuries necessitate amputation. More recently,...
The advent of vascularized composite allotransplantation (VCA) has ushered in a new era reconstructive surgery. Lower rungs on the ladder rely autologous tissue, alloplastic materials and pretreated biologics to reconstruct mimic functional aesthetic components human anatomy. VCA, however, uniquely provides exact appropriate anatomic configuration restore both form function together single unit. Following first successful hand transplant 1998, medical community progressively adopted VCA as...
Introduction: In 2015, the first bilateral pediatric hand-forearm transplant was performed in an 8-year old boy. The long-term functional outcomes and growth of transplanted upper extremities unknown. Methods: Forearm bone age radiographs were obtained annually. Radius ulna measurements mathematically normalized by a musculoskeletal radiologist (JCN) alongside coauthors (SCA, NM, RK). Greulich & Pyle Atlas used to estimate hand age. Functional testing patient reported are reviewed. Results:...