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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
。    　　北京8月10日电（记者王悦阳）记者8月10日从国家能源局获悉，国家发展改革委、国家能源局日前印发的《煤炭工业发展“十五五”规划》提出，到2030年基本建成现代煤炭产业体系等主要目标。　　煤炭是我国基础能源。加快构建布局协同优化、供应安全稳定、开发绿色智能、利用清洁高效、治理科学规范的现代煤炭产业体系，能够为建设能源强国、构建新型能源体系提供坚强支撑。　　“十四五”时期，我国煤炭开发布局持续优化，煤炭产量达到48.5亿吨；煤炭产业结构持续优化，行业自主创新能力整体跃升；现代煤炭市场体系建设持续深化，电煤保供中长期合同制度不断健全，煤炭市场价格形成机制逐步完善。

二 | 　　“十五五”时期是煤炭转型发展的重要变革期，煤炭消费将迎来达峰。聚焦建设现代煤炭产业体系这一主线，规划提出九方面重点任务，即优化煤炭开发空间布局，加快煤炭产业结构优化升级，加强煤炭产供储销体系建设，推动煤矿智能化迭代升级，加快煤炭绿色低碳转型，加强煤炭清洁高效利用，增强煤炭科技创新能力，强化煤炭安全生产管理，提升行业治理现代化水平。　　规划部署煤炭供应保障基地建设、煤矿智能化建设迭代升级、煤炭与新能源融合发展、商品煤质量提升、煤炭技术装备创新五方面重大工程。　　此外，规划将《煤层气（煤矿瓦斯）开发利用方案》作为附件一并印发，方案提出到2030年，煤层气产量260亿立方米，瓦斯利用量65亿立方米。

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