title: Cross-over replantation after bilateral traumatic lower-leg amputation: a case report with a six-year follow-up.
abstract: 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.
authors.affiliation: Department of Traumatology, Klinikum Innenstadt, Ludwig -Maximilians-University of Munich/Bavaria, Germany.
authors.forename: A M
authors.initials: AM
authors.lastname: Betz
authors.forename: W
authors.initials: W
authors.lastname: Stock
authors.forename: R
authors.initials: R
authors.lastname: Hierner
authors.forename: L
authors.initials: L
authors.lastname: Schweiberer
mesh_terms: D000368:Aged; D000673:Amputation, Traumatic / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D012092:Replantation