Citation

Betz A, Stock W, Hierner R, Sebisch E, Schweiberer L. Handchir. Mikrochir. Plast. Chir. 1995; 27(3): 141-148.

Vernacular Title

Kontralaterale Replantation nach bilateraler traumatischer

Affiliation

Klinikum Innenstadt, Ludwig-Maximilians-Universität München.

Copyright

(Copyright © 1995, Georg Thieme Verlag)

DOI

unavailable

PMID

7622128

Abstract

A 66-year-old patient attempted suicide by jumping in front of a train. The lower extremities were amputated at different levels. On the right side, there was a complete amputation within 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 tarsal and mid-tarsal bones. The left lower leg showed only few injuries. An ipsilateral (anatomical) replantation was not possible. In order to save one lower extremity, we decided to carry out a cross-over (contralateral) replantation of the right foot to the left lower leg. After a follow-up of six years, the patient is able to walk well with her prosthesis on the right side and the right foot hooked up to the left lower leg. Functionally, this treatment (cross-over replantation-one-side prosthesis of the lower leg) is much better than the prosthesis on both extremities, as the result has shown. Also from a psychological point of view, it seems to be better for the patient to preserve one extremity even with a cross-over replanted foot.

Language: de