Abstract: Do Plastic Surgery Residents Receive Similar Hand Surgery Training?

Methods:A candidate was chosen based on strict screening criteria including ongoing immunosuppression, proof of compliance and strong family support. The recipient was an eightyear-old quadrimembral amputee secondary to sepsis with distal forearm amputations who was functional with lower extremity prostheses but had failed upper extremity prostheses. A donor was found with ABO compatibility and negative cross-match; donor and recipient were matched for hand size based on preoperative 3D modeling and skin color. Four separate teams worked simultaneously to prepare the donor and recipient forearms. Custom 3D CT-generated cutting guides were used to plate the radius and ulna. Cellcept was administered and ABO compatibility was verified prior to vascular anastomosis (basilic vein and ulnar artery, cephalic vein and radial artery). Neurorraphies were performed for the median, ulnar, sensory radial and ulnar nerves. Flexor and extensor tendons were repaired in standard fashion and the dorsal veins were coupled prior to skin closure.