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Published on: July 12, 2010
Crossover replantation after bilateral traumatic lower limb amputations: a case report
Jun Fang1, Huazhuang Li, Honglei Dou
1Department of Oral and Maxillofacial Surgery, Yidu Central Hospital, Weifang Medical University, Shandong Province, 262500, PR China. dentistdg@sina.com.
Journal of Medical Case Reports
|July 26, 2012
Summary
Crossover lower limb replantation, a rare procedure for bilateral amputations, offers patients the ability to stand and walk. This case report highlights successful outcomes and its clinical value.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Microsurgery
Background:
- Bilateral lower limb amputations present significant reconstructive challenges.
- Crossover replantation, involving attaching a limb to the opposite stump, is exceptionally rare in medical literature.
Purpose of the Study:
- To present a case of successful crossover lower limb replantation.
- To discuss the clinical implications and potential benefits of this reconstructive technique.
Main Methods:
- Emergency bilateral amputations were performed for severe crush injuries.
- A crossover replantation procedure was subsequently carried out.
- Long-term functional outcomes were assessed over five years.
Main Results:
- The patient achieved excellent functional recovery with perfect movement and stability in the replanted leg.
- The crossover replantation allowed the patient to stand and ambulate using their own foot.
Conclusions:
- Crossover lower limb replantation is a viable option for select patients with bilateral lower limb injuries.
- This procedure can restore mobility and improve quality of life, enabling patients to stand and walk.

