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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 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
。    DECATUR, Ga. -- A suburban Atlanta woman has been sentenced to 30 years in prison for the 2021 murder of a 4-month-old who died after she placed him to sleep on his abdomen in the child care center she operated out of her basement.A judge sentenced Amanda Hickey, 48, on Friday after families of children she was accused of abusing gave emotional testimony against her.”I know that there is nothing I can say in words to take away their pain, except take responsibility and express extreme sorrow for what I’ve done,” Hickey told DeKalb County Superior Court Chief Judge LaTisha Dear Jackson, according to The Atlanta Journal-Constitution. “This is my legacy now.”Charlie Cronmiller was being cared for in Hickey's Little Lovey child care center when he died on Feb. 3, 2021. Hickey didn't check on him for more than two hours before finding him covered in vomit and not breathing. The infant was pronounced dead at a hospital.Hickey operated the child care center from the basement of her Dunwoody home. She initially told investigators that she put the baby down on his back, in line with state regulations, but that the child rolled over onto his abdomen. Security video, however, showed Hickey actually placed the infant facedown.Video showed her swinging other babies by their feet, slamming them into the ground, pulling their hair, pushing and tripping toddlers, and placing others in unsafe positions for sleep, prosecutors said. The victims ranged in age from 6 to 18 months.Hickey was licensed to care for six children, but prosecutors said 10 were inside her home the day Charlie died.She pleaded guilty Sept. 22 to seven counts of first-degree child cruelty, seven counts of reckless conduct, one count of second-degree child cruelty and three counts of battery. Hickey entered an Alford plea, which allows a person to maintain her innocence while acknowledging that it is in her best interest to plead guilty to charges of second-degree murder and second-degree child cruelty related to Cronmiller's death. “There is no remorse,” the baby's mother, Stephanie Cronmiller, told the court Friday. “The only thing she’s sorry about is that she got caught. I focus on forgiving myself because I chose her. How could I not think this was my fault?”Hickey was taken into custody immediately after the hearing. Jackson ordered that once Hickey is released from prison, she can’t have contact with the victims or any children younger than 13, and can’t gain financially from the case.。

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