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Patient with both legs severed at thigh level walks again after doctors perform rare replantation surgery in East China’s Jiangsu_我的网站

冰与火之歌第一季

A |     

【环球网报道】据国家卫健委网站消息,9月13日0—24时,31个省(自治区、直辖市)和新疆生产建设兵团报告新增确诊病例237例。    
A 51-year-old patient surnamed Jiang raises his legs after more than a year of treatment following an eight-hour operation at Suzhou Ruihua Orthopedic Hospital in 2024 to reattach both legs, which had been completely severed at the thighs. Photo: Yangtze Evening Post
A 51-year-old patient surnamed Jiang raises his legs after more than a year of treatment following an eight-hour operation at Suzhou Ruihua Orthopedic Hospital in 2024 to reattach both legs, which had been completely severed at the thighs. Photo: Yangtze Evening PostChinese doctors have completed what they called as the world's first replantation involving the complete severing of both legs at thigh level, with the patient now able to walk indoors using a walker following a nearly eight-hour operation, according to a recent report by the Yangtze Evening Post.
The patient, a 51-year-old surnamed Jiang, had both legs completely severed at the thighs in a machinery accident at a factory on December 2, 2024. A multidisciplinary team from the trauma orthopedics and joint surgery departments at Suzhou Ruihua Orthopedic Hospital, in East China's Jiangsu Province, worked through the night for nearly eight hours to reattach the two limbs, the report said.
Li Changsong, head of a trauma orthopedics team at the hospital, told the Yangtze Evening Post on Tuesday that Jiang can now walk indoors with a walker and manage most daily activities without assistance. Sensation in his lower limbs has also recovered to the area above his ankles.
"He is still recovering and is expected to gradually stop using crutches and eventually walk independently," Li was quoted as saying by the Yangtze Evening Post on Wednesday.
In March last year, shortly after the external fixators were removed from both legs, Jiang could already lift his legs freely while lying in bed. Sensation had returned as far down as the middle of his lower legs, and he was discharged from the hospital on March 5. His main goal at the time was to stand and walk again through rehabilitation, according to the report. 
More than a year later, Jiang has moved from being confined to bed to lifting his legs and then standing and walking, the report said, noting that his rehabilitation is still ongoing.
The recovery process has not been without complications. Jiang developed localized skin necrosis after the operation and underwent flap reconstruction surgeries. He later required bone grafting and reinforced internal fixation of both femurs after severe open comminuted fractures resulted in femoral nonunion.
Li said Jiang is now in good overall condition, with his legs approximately equal in length.
"A novelty assessment conducted by the Jiangsu Institute of Medical Information confirmed this as the world's first case of replantation following the complete severing of both thighs," Li said. 
Li said the case was considered a world first primarily because both legs were completely severed at thigh level simultaneously, an extremely rare injury. The hospital had previously accumulated extensive experience in replanting single limbs and lower legs, while its expertise in fracture fixation, vascular anastomosis and nerve repair provided an important technical foundation for the operation, according to the report.
Li did not give a timetable for when Jiang might be able to stop using a walker completely.
"Recovery varies from person to person. We still need to monitor his muscle strength, nerve sensation and fracture healing," Li said. Based on his current progress, however, Jiang's walking ability could continue to improve, the Yangtze Evening Post reported.
Global Times
。其中境外输入病例41例(福建11例,广东11例,上海8例,云南5例,北京2例,四川2例,天津1例,重庆1例),含5例由无症状感染者转为确诊病例(广东4例,四川1例);本土病例196例(四川127例,北京18例,山东10例,西藏8例,内蒙古7例,广西7例,广东6例,湖南4例,贵州3例,江西2例,黑龙江1例,上海1例,重庆1例,新疆1例),含58例由无症状感染者转为确诊病例(四川54例,北京1例,重庆1例,贵州1例,新疆1例)。无新增死亡病例。

B | 无新增疑似病例。当日新增治愈出院病例377例,其中境外输入病例44例,本土病例333例(海南176例,广东43例,四川36例,西藏28例,内蒙古7例,重庆7例,陕西6例,黑龙江5例,新疆5例,辽宁4例,北京3例,浙江3例,河北2例,江西2例,河南2例,山西1例,福建1例,山东1例,青海1例),解除医学观察的密切接触者27211人,重症病例较前一日增加3例。境外输入现有确诊病例563例(无重症病例),无现有疑似病例。累计确诊病例23169例,累计治愈出院病例22606例,无死亡病例。截至9月13日24时,据31个省(自治区、直辖市)和新疆生产建设兵团报告,现有确诊病例5277例(其中重症病例32例),累计治愈出院病例237054例,累计死亡病例5226例,累计报告确诊病例247557例,无现有疑似病例。累计追踪到密切接触者5751134人,尚在医学观察的密切接触者238780人。31个省(自治区、直辖市)和新疆生产建设兵团报告新增无症状感染者825例,其中境外输入63例,本土762例(贵州246例,西藏129例,四川83例,江西55例,广西51例,黑龙江44例,山东35例,新疆25例,湖北18例,河北16例,陕西14例,甘肃13例,内蒙古11例,辽宁10例,天津4例,青海4例,广东3例,湖南1例)。当日解除医学观察的无症状感染者1241例,其中境外输入71例,本土1170例(海南371例,西藏276例,黑龙江139例,江西51例,青海48例,新疆48例,河北34例,山东34例,甘肃24例,辽宁23例,湖北20例,广东20例,陕西16例,河南14例,四川13例,广西7例,贵州7例,内蒙古6例,吉林5例,重庆5例,浙江4例,福建2例,江苏1例,湖南1例,兵团1例);当日转为确诊病例63例(境外输入5例);尚在医学观察的无症状感染者21511例(境外输入679例)。累计收到港澳台地区通报确诊病例6157418例。其中,香港特别行政区401942例(出院79100例,死亡9820例),澳门特别行政区793例(出院787例,死亡6例),台湾地区5754683例(出院13742例,死亡10329例)。

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