In reply

详细信息    查看全文

• 作者：Keiichi Murata ; Tsu Min Tsai ; Andrew Scott LaJoie
• 关键词：Hand surgery ; organ transplantation
• 刊名：The Journal of Hand Surgery
• 出版年：2004
• 出版时间：January 2004
• 年：2004
• 卷：29
• 期：1
• 页码：160-161
• 全文大小：32 K

文摘

This study presents a series of organ transplant patients who developed problems that affected their upper extremities, related to the organ transplant operation itself, to the patient’s underlying systemic disease, to long-term immunosuppression, or to subsequent hand injury after the organ transplant surgery.

ss=""h3"">Methods

A retrospective chart review of 40 organ transplant patients with upper extremity problems at 3 major organ transplant centers was performed.

ss=""h3"">Results

Six general problems were identified that affected the hand and upper extremity in these transplant patients: inflammatory conditions (16), nerve compression syndromes (18), infections (6), neoplasms (6), vascular problems (4), and trauma (14). Thirty-eight patients had 72 separate hand procedures. No problems were encountered with postoperative infections, and skin and bony healing occurred uneventfully.

ss=""h3"">Conclusions

Organ transplant patients are prone to developing atypical infections, skin malignancies, ischemia, and various nerve compression syndromes that affect the hand. These patients with upper-extremity problems should be treated in a manner similar to any patient without prior organ transplant.