Fang Jun, Li Huazhuang, Dou Honglei, Chen Jingchun, Xu Aiping, Liu Wenguo, Ding Gang
Department of Oral and Maxillofacial Surgery, Yidu Central Hospital, Weifang Medical University, Shandong Province, 262500, PR China.
J Med Case Rep. 2012 Jul 24;6:218. doi: 10.1186/1752-1947-6-218.
Replantation of a limb to the contralateral stump after bilateral traumatic amputations is rare. To the best of our knowledge, there are only a few reports of crossover lower limb replantation in the literature.
We treated a 37-year-old Chinese woman with bilateral lower limb crush injuries sustained in a traffic accident. Her lower limb injuries were at different anatomic levels. We performed emergency bilateral amputations followed by crossover replantation. Five years later, the woman had recovered well, and had perfect movement and stability in her replanted leg. After reviewing the literature, we thought that presentation of our patient's case might provide useful information for clinicians.
Crossover replantation should be considered when evaluating a patient with bilateral lower limb injuries, thus allowing the patient to touch the ground and stand using their own foot.
双侧创伤性截肢后将肢体再植至对侧残端的情况较为罕见。据我们所知,文献中仅有少数关于交叉下肢再植的报道。
我们治疗了一名37岁的中国女性,她在交通事故中遭受双侧下肢挤压伤。她的下肢损伤处于不同解剖水平。我们进行了急诊双侧截肢,随后进行了交叉再植。五年后,该女性恢复良好,再植肢体运动及稳定性良好。查阅文献后,我们认为展示该患者的病例可能会为临床医生提供有用信息。
在评估双侧下肢损伤患者时应考虑交叉再植,从而使患者能够用自己的脚触地站立。