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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
。    Ohio residents this week began voting on a constitutional amendment whose fate will ultimately determine abortion access in the state.Voters are considering two ballot initiatives; ballots began being accepted on Wednesday and go through Election Day on Nov. 7.The two measures are: Issue 1, the amendment that if approved would add abortion rights to the state constitution; and Issue 2, which would legalize recreational marijuana.The proposed abortion amendment would establish an "individual right to one's own reproductive medical treatment including but not limited to abortion" and then creates legal protections for those individuals, among other guarantees like for contraception and fertility treatment.The marijuana measure, if passed, would make Ohio the 24th state to legalize cannabis and would allow adults 21 years and older to buy and possess up to 2.5 ounces of flower and 15 grams of extract.In August, Ohio voters resoundingly rejected a contentious, Republican-backed ballot measure that would have raised the threshold for future changes to the state constitution -- an effort that would have specifically made it more difficult for the abortion amendment to pass.When the U.S. Supreme Court struck down its previous Roe v. Wade ruling, in 2022, the justices returned the question of abortion access to individual states. Since then, while some states have largely ceased abortion access, others have taken up ballot measures that put the question before voters. In those cases -- in both red and blue states so far -- voters have rejected the potential for abortion restrictions and bans or elected to expand access.On Sept. 27, the Ohio Supreme Court started hearing arguments about the state's six-week abortion ban, which was previously put on hold by a lower court.The success or failure of the abortion ballot measure could render that case moot, if state voters add abortion access to their constitution.Both sides have built up mobilization efforts over the past few weeks -- knocking on doors, canvassing and hosting rallies across the state."Whether you're pro-life or pro-choice, Issue 1 just goes too far," Ohio Gov. Mike DeWine, a Republican, said at a recent event at the Ohio GOP's headquarters.Ohio Democrats claimed last week to have been inching toward 100,000 doors knocked and more than 100,000 calls made in the time since their win in the August special election."We're not leaving anything behind as we work to protect women's rights to choose and prevent Ohio's extreme abortion ban from taking effect," Ohio Democratic Chairwoman Elizabeth Walters said during a recent press briefing.There's also been significant financial investment in the race. According to numbers from AdImpact released last week, $12.3 million had been spent or reserved in advertising around the abortion ballot measure, with anti-amendment groups outspending amendment supporters by about $1.6 million.

The two sides make their arguments

Both Ohioans United for Reproductive Rights, a coalition of groups supporting abortion rights, and allied Ohio Democrats have sounded the alarm on what they claim to be foul play by opponents of the abortion amendment.Last month, the state Supreme Court allowed the Republican-controlled Ohio Ballot Board -- which is overseen by Secretary of State Frank LaRose, who is also running for the U.S. Senate -- to use amendment language that includes the phrase "unborn child."Democrats on the board had asked for measure's language to remain what was on the petition that voters originally signed, which did not include that term.Amendment supporters have argued it was rewritten to confuse voters and is misleading about what the measure would actually do."They're running scared because they know their extreme abortion ban is wildly unpopular, and Ohio voters support a woman's right to make medical decisions for themselves without interference from politicians," Walters, with the state Democrats, said during a recent press call.Abortion opponents have also attempted to broaden the stakes of the proposal, arguing that it "goes far beyond" codifying the protections of Roe v. Wade to potentially affect parents' rights and "threaten the freedom of conscience of Ohio's healthcare professionals and preclude ... the enactment and enforcement of commonsense, protective laws," as Protect Women Ohio, one of the leading organizations fighting against the amendment, wrote in a memo."The Abortion Amendment victimizes rather than protects and empowers women and girls," they continued.LaRose, a leading voice against the measure, said in a statement to ABC News that "as a father and someone who's always stood up to protect life, I'll be working to defeat this radical measure."。

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