Perioperative XXXX and fibrotic degeneration of muscle in a forearm allograft: functional follow-up at 32 months post transplantation.

@entity1 @entity82 @entity63 @entity3446 @entity134 @entity618 @entity1159 @entity1140 @entity230 @entity1011
Allografts of the forearm are still uncommon in the field of composite tissue allograft transplantation. In November 2007, a right-hand allograft and a left-hand/full-length forearm allograft were transplanted in a 30-year-old @entity1 who lost both hands and the vision in his left eye due to an explosion. The @entity1 underwent alemtuzumab and @entity134 induction therapy. @entity1140 , @entity618 , and low doses of @entity230 were given to prevent rejection. The allografts were rejected 3 times, but these episodes were controlled successfully. The immunosuppressive regimen was switched from @entity1140 to @entity3446 because of increased serum @entity1011 . The left allograft showed a @entity1159 due to muscle @entity82 that was conjectured to be associated with a perioperative @entity63 and permitted only a Moberg-type key pinch. In contrast, an excellent grade of function was observed in the right allograft. The Disabilities of the Shoulder, Arm, and Hand score improved from 70.83 to 36.6 and intrinsic musculature returned to both allografts. The @entity1 was able to work 2 years after transplantation. This is the first report of an @entity63 related to the successful allotransplantation of a composite tissue.
