Bulic Kresimir, Antabak Anko, Dujmovic Anto, Kisic Hrvoje, Lorencin Mia
From the *Department of Surgery, University of Zagreb School of Medicine; and †Department of Plastic Surgery, University Hospital Zagreb, Zagreb, Croatia.
Ann Plast Surg. 2017 Mar;78(3):304-306. doi: 10.1097/SAP.0000000000000965.
We present a case of a successful bilateral leg replantation in a 3-month-old baby after a knee-level crush amputation with the loss of both knee joints. The legs were replanted after 4 hours of warm and an additional 2.5 and 3.5 hours of cold ischemia time. Both legs show motor and sensory reinnervation, without additional procedures performed on the right leg, and after a nerve reconstruction with cadaveric allografts on the left leg. Both replanted legs exhibit excellent bony and soft tissue growth. Two years after the injury, the patient is progressing well with rehabilitation, with favourable odds of having knee reconstructions performed at a later age. This is the youngest patient reported to have had successful replantation of both legs.
我们报告一例3个月大婴儿在双侧膝关节水平挤压离断（双膝关节缺失）后成功进行双侧断肢再植的病例。双下肢在热缺血4小时以及额外2.5小时和3.5小时冷缺血时间后进行了再植。双腿均显示出运动和感觉神经再支配，右侧未进行额外手术，左侧在使用尸体同种异体神经移植进行神经重建后实现再支配。两条再植腿均呈现出良好的骨和软组织生长。受伤两年后，患者康复进展良好，日后进行膝关节重建的可能性较大。这是报道的成功进行双腿再植的最年轻患者。
