UK Hand and Upper Limb Transplant Service, functional outcomes of the first six patients: A case series
Bibliographic record
Abstract
To date, three unilateral and seven bilateral hand and upper limb transplants have been performed by the UK Hand Transplant Programme. We report functional outcomes for our first six patients, who have been followed for between 4 and 10 years. All patients gained protective sensation to pain, pressure and temperature, and a recordable power grip. All patients saw an improvement in the Canadian Occupational Performance Measure performance and satisfaction scores, with five out of six patients improving the Disability of the Arm Shoulder and Hand scores. The Hand Transplant Score System graded all distal transplants as either a ‘good’ or ‘excellent’ with proximal transplants scoring ‘fair’ or ‘good’. Hand transplant is an effective treatment in selected patients with continual improvements in function seen for up to 5 years. Level of evidence: IV
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".