Plenary Session 6
AAHS Presidential Invited Lecture: How Hand and Arm Transplantation Can Transform Amputee Lives
It has been nearly two decades since the first hand transplant was done in the United States in 1999. This presentation will provide an update on hand and arm transplantation for patients who have suffered a hand or arm amputation or extreme loss of function due to injury or illness. Much knowledge and clinical wisdom has been gained by the surgeons and therapists that have pioneered this important work to improve the quality of life and participation for the patients that these reconstructive procedures.
- Understand the indications and patient selection consideration for hand and arm transplantation
- Recognize the potential benefits from hand transplantation in motor and sensory recovery and possible transformation of daily lives
- Appreciate the risk-benefit balance of hand transplantation including the potential adverse effects of systemic immunosuppression and novel protocols to minimize immunosuppression.
My Work with Patients with Hand or Arm Transplants Has Made Me a Better Hand Therapist
This lecture presents information on the treatment of patients with of hand / upper extremity (UE) transplantation. The lecture will highlight components of working with a unique and small patient population translates to the general practice of hand therapy.
- Explain the principles for management of hand / UE transplantation.
- Understand opportunities in sensory-motor recovery on functional skill development.
- Discuss balancing therapeutic priorities and patient expectations.
- Present options for orthotic fabrication for stability and function.
- Understand psychosocial implications of trauma, limb loss, functional decline and caregiver dependency and the struggles to recovery life skills, independence and autonomy.