Journal of reconstructive microsurgery vol:12 issue:4 pages:247-255
A suicidal 66-year-old female patient was run over by a train. The lower extremities were amputated at different levels. On the right side, there was a complete amputation in 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 tarsus and mid-tarsal bones. The left lower leg showed only minimal injuries. An ipsilateral (anatomic) replantation was not possible. in order to save one lower extremity, a cross-over (contralateral) replantation of the right foot to the left lower leg was carried out.