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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

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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
。    流          感          病          毒           亲爱的家长朋友们，近期流感肆意猖狂，幼儿体质弱容易被传染，为了不被它偷袭，让我们一起来认识一下它吧：          一          什么是流感？           流行性感冒，简称“流感”，分为甲、乙、丙、丁四型，甲型、乙型流感较为多见。流感是一种传染性强、传播速度快的急性呼吸道传染病，家庭、学校等聚集性场所易引起传播。         二          流感与普通感冒有什么区别？          流感更严重，更容易出现并发症          三          流感传播途径                     主要通过呼吸道传播，打喷嚏、咳嗽等飞沫传播，经口腔、鼻腔、眼睛等黏膜直接或间接接触感染。                                       四          治疗流感需注意           如出现高热、尤其是家庭、学校聚集性发病，应及时就医，就医过程应全程佩戴口罩，尽量减少接触他人并居家休息。在医生的指导下合理使用抗病毒治疗。

二 |          五          如何有效预防流感？                    1、接种流感疫苗：接种流感疫苗是预防流感最有效的预防措施之一，可以显著减少感染的风险以及改善感染后的症状，从而降低接种者感染流感病毒和发生严重并发症的风险。建议儿童每年接种流感疫苗。因不具备终身免疫，推荐每年接种流感疫苗，尤其是老年人、慢性病患者。

三 |          2、保持健康的生活方式：规律作息、充足睡眠、健康饮食、适量运动，根据天气情况及时增减衣裳。         3、保持良好的个人卫生习惯：戴口罩、勤洗手、咳嗽或打喷嚏时用纸巾等遮住口鼻，避免接触呼吸道感染患者。                   预          防          流          感          5、经常开窗通风，加强空气流通，流感季节尽量避免到人群密集场所活动。         6、出现发热、咳嗽、流涕等流感样症状时，应尽早就医，患者及陪护人员要戴口罩，避免交叉感染。         六          若确诊为流感，何时才能返园？           一旦确诊为流感，需居家隔离休息，待体温恢复正常、其他流感样症状消失48小时后凭社区医院开具的复课返校证明方可回园。          流感早认识，健康共守护，为了孩子的健康让我们共同努力做好流感的防控工作。                   流          感          早          认          识          ，          健          康          共          守          护                                                  END                    撰写：蒋亮          排版：洪晓瑜          责任编辑：蒋亮 王玺          审核：刘心慧。

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