Patients Private of Their Upper Limbs
Conditions
Brief summary
The aim of the study is to realize a bilateral transplantation of upper limbs. The first objective is functional but there are aesthetic and psychologic imperatives too. This open and descriptive study needs compatible donor and recipient. The sample should be realized simultaneously and the transplantation should be made by two coordinated teams according to this sequence : osteosynthesis, vascular anastomosis, sutures of tendons and nervous sutures. An immunosuppressant treatment should be initialized from the beginning of the intervention and continued for life. Rejections should be screened by regular clinical and histological examinations.
Interventions
bilateral allotransplantation of upper limbs
Sponsors
Study design
Eligibility
Inclusion criteria
Donor: * State of brain death * Compatibility with recipient about sex, size, age and color * Blood compatibility; integrity of upper limbs Recipient: * Double amputation of hands or forearms with traumatic origin * Personal motivation * Good health condition * Delay from 2 months to 34 years between amputation and transplantation
Exclusion criteria
Donor: * Uncompatibility with sample * Lesion on upper limbs * Neoplasia * Hepatitis B or C * Positive CMV serology Recipient: * Uncompatibility with immunosuppressant treatment * Psychosis * Carcinosis * Cardiovascular diseases * Addiction to alcohol or smoking * Pregnancy * Feeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functional rehabilitation of patients by bilateral allotransplantation of upper limbs, evaluated by measure of the function of the transplanted extremities | 6 years |
Secondary
| Measure | Time frame |
|---|---|
| Aesthetic and psychologic | 6 years |
Countries
France