Betz A M, Stock W, Hierner R, Schweiberer L
Department of Traumatology, Klinikum Innenstadt, Ludwig -Maximilians-University of Munich/Bavaria, Germany.
J Reconstr Microsurg. 1996 May;12(4):247-55. doi: 10.1055/s-2007-1006484.
A suicidal 66-year-old female patient was run over by a train. The lower extremities were amputated at different levels. On the right side, there was a complete amputation in the distal third of the lower leg. Proximal to the amputation site, there was an extensive soft-tissue and bone defect. On the left side, there was a crush injury of the tarsus and mid-tarsal bones. The left lower leg showed only minimal injuries. An ipsilateral (anatomic) replantation was not possible. In order to save one lower extremity, a cross-over (contralateral) replantation of the right foot to the left lower leg was carried out. After a follow-up of 6 years, the patient is able to walk well with a prosthesis on the right side, and the right foot replanted to the left lower leg. From a psychological point of view, it seemed better for the patient to preserve one extremity, even with a cross-over replanted foot.
一名66岁的自杀女性患者被火车碾压。双下肢在不同平面被截肢。右侧小腿远端三分之一处完全离断。在离断部位近端，存在广泛的软组织和骨缺损。左侧跗骨和跗中骨有挤压伤。左小腿仅有轻微损伤。同侧（解剖学）再植不可能实现。为了保住一条下肢，将右脚交叉（对侧）再植到左小腿。经过6年的随访，患者右侧佩戴假肢，移植到左小腿的右脚能很好地行走。从心理角度看，对患者来说，即使是交叉再植的脚，保住一条肢体似乎更好。
