{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:58:44Z","timestamp":1792799924094,"version":"4.5.0"},"reference-count":11,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T00:00:00Z","timestamp":1563840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Memorial Medical Center Foundation","id":[{"id":"https:\/\/ror.org\/05dxjde67","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>Background: Hand and distal forearm allotransplantation has advanced over the last 20 years from experimental to a viable treatment option for bilateral upper extremity amputation. Despite widespread growth of this field, there are few technical reports that elaborate the details of donor arm procurement. This article details a technique for rapid donor procurement through the elbow for mid to distal forearm-level hand allograft procurement. Methods: Nine arm procurements were performed on deceased tissue-only donors provided by the local organ procurement organization, including two bilateral and five unilateral cases. Technique highlights include using a fishmouth incision through the lateral and medical epicondyles, identification of the neurovascular structures, and disarticulating the elbow joint. Results: Procuring through the elbow provides straightforward anatomy, bypasses the need to cut through bone, and allows tissue allotransplantation teams to achieve procurement, flushing, and packaging within 20 minutes. Conclusions: Procurement through the elbow is a simple procedure that streamlines the process for multi-organ donors by minimizing the time needed for hand allograft procurement. Team coordination and surgical rehearsals are essential for successful hand and upper extremity procurement and allotransplantation.<\/jats:p>","DOI":"10.1177\/1558944719863127","type":"journal-article","created":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T04:32:06Z","timestamp":1563856326000},"page":"391-396","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Technique for Rapid Hand Transplant Donor Procurement Through the Elbow"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2731-5526","authenticated-orcid":false,"given":"Shaun D.","family":"Mendenhall","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justyn","family":"Lutfy","sequence":"additional","affiliation":[{"name":"Kootenay Surgery Clinic, Trail, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Graham","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Overschmidt","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. Scott","family":"Levin","sequence":"additional","affiliation":[{"name":"University of Pennsylvania, Philadelphia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael W.","family":"Neumeister","sequence":"additional","affiliation":[{"name":"Southern Illinois University School of Medicine, Springfield, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,7,23]]},"reference":[{"key":"bibr1-1558944719863127","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001892"},{"key":"bibr2-1558944719863127","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001893"},{"key":"bibr3-1558944719863127","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2011.08.007"},{"key":"bibr4-1558944719863127","doi-asserted-by":"publisher","DOI":"10.4161\/23723505.2014.973799"},{"key":"bibr5-1558944719863127","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsb.2006.09.008"},{"key":"bibr6-1558944719863127","doi-asserted-by":"publisher","DOI":"10.1097\/MOT.0000000000000172"},{"key":"bibr7-1558944719863127","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0000000000000031"},{"key":"bibr8-1558944719863127","doi-asserted-by":"publisher","DOI":"10.1080\/23723505.2015.1068909"},{"key":"bibr9-1558944719863127","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0000000000000025"},{"key":"bibr10-1558944719863127","doi-asserted-by":"publisher","DOI":"10.1177\/1558944718790579."},{"key":"bibr11-1558944719863127","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0000000000000081"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1558944719863127","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1558944719863127","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1558944719863127","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:30:22Z","timestamp":1777447822000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1558944719863127"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,23]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1177\/1558944719863127"],"URL":"https:\/\/doi.org\/10.1177\/1558944719863127","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,23]]}}}