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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 Milan Experience

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Hand Transplantation

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Abstract

Hand surgeons and reconstructive microsurgeons have been “transplanting” composite tissues for a long time. Every time we perform a free flap, we are actually performing a true transplant. Most of the time there is no choice other than to adapt a flap coming from a certain donor area to a recipient area with different characteristics. Normally this happens in cases of complex multitissue defects or when the tissue that needs reconstruction carries some unique features. So while we are now exploring the area of prefabrication or prelamination of flaps, we are aware that we are far from perfection, hence the need to look at using possible allogeneic tissues [1]. With the advent of microsurgery, the long-term results of autologous replantation of the upper extremity, especially after a clean-cut amputation, have become extremely good. In a recent long-term review study, it was shown that replanted hands and forearms had a mean loss of range of motion of 17.5% [2].

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Author information

Authors and Affiliations

  1. Italian Institute of Hand Surgery, Monza, Milan, Italy

    Marco Lanzetta (Director, Former Director, Former Associate Professor of Orthopaedics, Adjunct Professor of Orthopaedics and Microsurgery and President), Roberta Nolli, Ilaria Radaelli & Rosella Coletti

  2. Hand Surgery and Reconstructive Microsurgery Unit, San Gerardo Hospital, Monza, Milan, Italy

    Marco Lanzetta (Director, Former Director, Former Associate Professor of Orthopaedics, Adjunct Professor of Orthopaedics and Microsurgery and President)

  3. University of Milan-Bicocca, Milan, Italy

    Marco Lanzetta (Director, Former Director, Former Associate Professor of Orthopaedics, Adjunct Professor of Orthopaedics and Microsurgery and President)

  4. University of Canberra, Australia

    Marco Lanzetta (Director, Former Director, Former Associate Professor of Orthopaedics, Adjunct Professor of Orthopaedics and Microsurgery and President)

  5. International Hand and Composite Tissue Allograft Society, Australia

    Marco Lanzetta (Director, Former Director, Former Associate Professor of Orthopaedics, Adjunct Professor of Orthopaedics and Microsurgery and President)

  6. Diabetology Unit, San Gerardo Hospital, Monza, Milan, Italy

    Felice Paleari

  7. Histopathology Unit, San Gerardo Hospital, Monza, Milan, Italy

    Anna Cappellini

  8. Department of Surgery San Gerardo Hospital, University of Milan-Bicocca, Milan, Italy

    Franco Uggeri

  9. North Italian Transplant, Milan, Italy

    Mario Scalamogna

  10. San Gerardo Hospital, Monza, Milan, Italy

    Alessandro Rampa (Former Health Services Manager)

Authors
  1. Marco Lanzetta
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  2. Roberta Nolli
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  3. Ilaria Radaelli
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  4. Rosella Coletti
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  5. Felice Paleari
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  6. Anna Cappellini
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  7. Franco Uggeri
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  8. Mario Scalamogna
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  9. Alessandro Rampa
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Editor information

Editors and Affiliations

  1. Italian Institute of Hand Surgery, Monza,Milan, Italy

    Marco Lanzetta (Director, Adjunct Professor and President) (Director, Adjunct Professor and President)

  2. University of Canberra, Australia

    Marco Lanzetta (Director, Adjunct Professor and President) (Director, Adjunct Professor and President)

  3. International Hand and Composite, Tissue Allograft Society, Australia

    Marco Lanzetta (Director, Adjunct Professor and President) (Director, Adjunct Professor and President)

  4. Department of Transplantation, Édouard Herriot Hospital, Lyon, France

    Jean-Michel Dubernard  & Palmina Petruzzo  & 

  5. Department of Surgery, University of Cagliari, Italy

    Palmina Petruzzo

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© 2007 Springer-Verlag Italia

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Lanzetta, M. et al. (2007). 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 Milan Experience. In: Lanzetta, M., Dubernard, JM., Petruzzo, P. (eds) Hand Transplantation. Springer, Milano. https://doi.org/10.1007/978-88-470-0374-3_16

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  • DOI: https://doi.org/10.1007/978-88-470-0374-3_16

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0373-6

  • Online ISBN: 978-88-470-0374-3

  • eBook Packages: MedicineMedicine (R0)

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