潜行狙击

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

一 |     ミラノ・コルティナ五輪は現地時間2月22日、閉会式が行われ、約2週間の熱戦に幕を閉じた。    

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
。日本勢は過去最多となる24個のメダルを獲得。その中でも、フィギュアスケートがこちらも過去最多となる6個のメダルを手にする盛り上がりを見せた。【写真】「もっと食べた方が…」心配の声が集まるザギトワの近影をチェック 　一方で、対照的な国もある。女子フィギュア界を長年、席巻してきたロシアだ。今大会のロシアは国としての出場が認められず、アデリア・ペトロシャンが個人の中立選手として出場。しかし、演技に細かなミスも出て、6位に終わった。2014年のソチ五輪以降、エテリ・トゥトベリーゼ氏の門下生が五輪の頂点を争ってきた流れを踏まえれば、この結果は象徴的と言える。　ロシアメディア『スポーツ24』は大会を振り返り、「ソチ五輪以来初めて、女子シングルでロシア代表が金メダルを獲得できなかった」と指摘。さらに「エテリ・トゥトベリーゼの教え子が表彰台のトップに上がらなかったのは2014年以来初めてだ」とも伝え、「長年にわたりチャンピオンを輩出してきた“伝説のベルトコンベヤー”は、もはや機能不全に陥ってしまったのだろうか」と論じた。　同メディアは要因の一つとして年齢制限の変更を挙げる。「年齢制限が17歳に引き上げられたことは大きな打撃だった」とした上で、「これまでのシステムでは、女子選手は15歳前後でピークの状態に達するようにトレーニングプロセスが構築されていた。

二 | リプニツカヤ、ザギトワ、ワリエワはその典型例である」と指摘した。　国際スケート連盟（ISU）は北京五輪後、シニアの最低年齢を段階的に17歳へ引き上げた。

三 | ロシア側の論調は、この制度変更が従来の育成サイクルに影響を与えているという見方だ。記事では、ペトロシャンが18歳8か月で五輪に出場し、トゥトベリーゼ門下としては最年長だった点にも触れている。

四 | 　さらに同メディアは、「17歳のアスリートから超人的なパフォーマンスを引き出すのは、15歳の場合よりも難しい」と主張。その背景として「思春期による身体的変化」を挙げた。また、現在の国際大会出場停止の状況についても言及し、「いつ世界舞台に戻れるか分からない中で、モチベーションを維持するのは容易ではない」との見解を示している。　こうした分析から、ロシア国内ではエテリ流メソッドの転換期を指摘する声が出ている。ただし、今回の結果が一つの時代の終焉を意味するのか、それとも過渡期にすぎないのかはなお見極めが必要だ。

五 | 年齢規定の変更と国際情勢という複合要因の中で、ロシア女子がどのような再構築を図るのか。

六 | 新たなサイクルに向けた動向が注目される。

七 | [文/構成:ココカラネクスト編集部]。

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Published on:00:28:32