[The first Belgian hand transplantation case. Nine years follow-up].

The authors report the clinical result at 9 years followup of a unilateral hand transplantation performed on the dominant side after traumatic forearm amputation. The patient is back to work and sporting activities. The allograft has been fully incorporated into his self-image. The satisfaction index is 10/10, the DASH 5/100, and the 400-points score 68.1 %. The Lanzetta HTSS score is 91 (excellent). Good function of extrinsic and intrinsic muscles is observed. The grasping strength is markedly decreased (7.4 % as compared to the normal non-dominant side). The patient has experienced several rejection episodes, controlled by the immunosuppressant drugs.