First child to undergo double hand transplant achieves his dream

&Tab;&Tab;<div class&equals;"wpcnt">&NewLine;&Tab;&Tab;&Tab;<div class&equals;"wpa">&NewLine;&Tab;&Tab;&Tab;&Tab;<span class&equals;"wpa-about">Advertisements<&sol;span>&NewLine;&Tab;&Tab;&Tab;&Tab;<div class&equals;"u top&lowbar;amp">&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;<amp-ad width&equals;"300" height&equals;"265"&NewLine;&Tab;&Tab; type&equals;"pubmine"&NewLine;&Tab;&Tab; data-siteid&equals;"111265417"&NewLine;&Tab;&Tab; data-section&equals;"2">&NewLine;&Tab;&Tab;<&sol;amp-ad>&NewLine;&Tab;&Tab;&Tab;&Tab;<&sol;div>&NewLine;&Tab;&Tab;&Tab;<&sol;div>&NewLine;&Tab;&Tab;<&sol;div><p>A boy who underwent a double hand transplant was able to fulfil his dream of swinging a baseball bat just a year after surgery&period; Zion Harvey was also able to write and also feed and dress himself independently 18 months after the procedure which took nearly 11 hours&period;<&sol;p>&NewLine;<p>The American youngster&comma; who was aged eight when the procedure took place&comma; is able to complete the tasks following months of occupational therapy and psychological support&comma; according to a medical report published in The Lancet Child and Adolescent Health journal&period; The report also documents a series of setbacks&comma; including treatment of numerous rejections of the hands and extensive rehabilitation&period;<&sol;p>&NewLine;<p>Dr Sandra Amaral&comma; of the Children&&num;8217&semi;s Hospital of Philadelphia&comma; said&colon; &&num;8220&semi;Our study shows that hand transplant surgery is possible when carefully managed and supported by a team of surgeons&comma; transplant specialists&comma; occupational therapists&comma; rehabilitation teams&comma; social workers and psychologists&period; &&num;8220&semi;Eighteen months after the surgery&comma; the child is more independent and able to complete day-to-day activities&period;<&sol;p>&NewLine;<p>&&num;8220&semi;He continues to improve as he undergoes daily therapy to increase his hand function and psychosocial support to help deal with the ongoing demands of his surgery&period;&&num;8221&semi; In July last year&comma; Chris King became the first person in the UK to have a double hand transplant in a pioneering operation at Leeds General Infirmary&period;<&sol;p>&NewLine;<p>The new study documents the progress of the first double hand transplant surgery in a child&period;<br &sol;>&NewLine;Zion was already receiving immunosuppression medication for a kidney transplant which was needed after he contracted the life-threatening infection sepsis when he was two&period; The infection also meant the youngster had to have his hands and feet amputated&period;<&sol;p>&NewLine;<p>Before he underwent the double hand transplant&comma; Zion had limited ability to dress&comma; feed and wash himself using his residual limbs or specialist equipment&period; When asked what he hoped to do following surgery&comma; he told doctors he wanted to be able to climb monkey bars and grip a baseball bat&period;<&sol;p>&NewLine;<p>His mother hoped her son would be able to dress&comma; brush his teeth and cut food independently&period;<br &sol;>&NewLine;The surgery took place in July 2015 at the Children&&num;8217&semi;s Hospital of Philadelphia in collaboration with Penn Medicine when a suitable donor became available&period; The procedure&comma; which lasted 10 hours and 40 minutes&comma; involved four medical teams working on the donor and recipient limbs&period;<&sol;p>&NewLine;<p>Within days of the surgery&comma; Zion was able to move his fingers using the ligaments from his residual limbs&period;<br &sol;>&NewLine;Six days after the transplant he began daily occupational therapy&comma; including video games and exercises using finger lights and puppets&comma; as well as daily tasks such as writing and using a knife and fork&period;<&sol;p>&NewLine;<p>By six months he could move the transplanted hand muscles and feel touch&period; Around this time he also became able to feed himself and grasp a pen to write&period; Two months later he could use scissors&period; Within a year of the surgery&comma; Zion could swing a baseball bat using both hands&period;<&sol;p>&NewLine;<p>Meanwhile&comma; scans revealed the boy&&num;8217&semi;s brain had developed pathways for control of hand movement and for carrying touch sensation signals from the hand back to the brain&period; The report also documents a series of setbacks including eight rejections of the hands&comma; which were managed with immunosuppression drugs&comma; and some minor infections as well as some impairment to his transplanted kidney&period;<&sol;p>&NewLine;<p>The researchers said caution must be taken when assessing the benefits and harms of such a procedure given the need for immunosuppression medication which carries risk for other conditions&period; Dr Amaral added&colon; &&num;8220&semi;While functional outcomes are positive and the boy is benefiting from his transplant&comma; this surgery has been very demanding for this child and his family&period;&&num;8221&semi;<&sol;p>&NewLine;&Tab;&Tab;&Tab;<div style&equals;"padding-bottom&colon;15px&semi;" class&equals;"wordads-tag" data-slot-type&equals;"belowpost">&NewLine;&Tab;&Tab;&Tab;&Tab;<div id&equals;"atatags-dynamic-belowpost-68e34c7989b49">&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;<script type&equals;"text&sol;javascript">&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;window&period;getAdSnippetCallback &equals; 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