Good News at last!!

Hey everyone, I have some good news :)

I went to the hospital on the 20th of June and had my x-rays and met up with the consultant to discuss my progress. It was agreed that the bones had meshed together quite well and now was the next part of the process- to slacken the frame off.

(This might be a bit awkward to explain, but I'll try my best.)

Above picture is my leg with my Illizarov Frame. The green arrows point to my rods which are attached to the rings. Basically these are all screwed together to hold the bone steady so it heals straight and everything fuses together as it should.

This is a better look at the rod, you can see the nuts holding the rings straight (meaning the pins hold the bone).

At the hospital, I had these nuts slackened off so the rings are free standing and the bone can freely move.

If you look closely, you can see the nuts aren't screwed down. I remained like this for one week and then had the rods and nuts taken out completely.

I'm now being held together with cable ties. The ties are there mainly for peace of mind as it's a bit unnerving to only have pins in your leg.


We now have to watch my leg and make sure it doesn't bend or move and all being well, the pins will come out on the 9th of July!!!

Underneath the dressings

Warning: Not for the faint-hearted.


I currently have a leg infection where my pin sites aren't healing properly. This is what they look like at the moment without the dressings:

This is halfway on my right side. It weeps quite a bit.

Probably the worst is the right top pins by my knees. The Pin has moved so much it's creating a hole in my leg that isn't healing.

This is on the left top pins by my knee. While it doesn't seem so bad from this angle, it's actually making a hole because of the pin on the other side (see above)

This is the middle of my leg on the left. It's probably the best pins out of them all and isn't bleeding much.

So I guess the next step is to see the dr and get on some more drugs and hope for the best. I'm in quite a bit of pain when I walk at the moment because everything heals over and as soon as I walk, it opens all back up.

Never mind though. Just got to keep thinking happy thoughts.

Hairy leg no more!

When I first got fixatored, I hadn't shaved for about 2 weeks and my legs weren't looking too bad. 2 months down the line, however, there's have got a bit hairy...

I wasn't too bothered at first and made a joke about it but in all honesty, it was starting to get me down. Everytime I showed my fixator to someone, I was embarrassed about the amount of leg hair.
Luckily for me, JML came to the rescue with their product 'Finishing Touch'. The JML Finishing Touch is essentially a mini shaver and due to it's small nature and angled head, it's perfect for getting round all the bars and pins in my leg.

Here are the results; 

Not bad huh? I'm really happy. The loss of hair has taken away lots of dead skin and itchiness with it and I can apply cream easier. My leg still feels a bit prickly but no one really feels my leg so as long as it looks clean shaven, I don't care.

Tightening the Screws

Yesterday I spent an awful long time in hospital waiting to find out a date when the fixator will be off. I had an 3 lots of x-rays and saw the dressings nurse but I spent the most time waiting to see Mr Dennison. Apparently Mr Dennison is one of the best Orthopaedics for trauma and external fixators.
I was called into see him and he was a lovely gentleman, I felt at ease straight away.

We looked at the x-rays and he explained that whilst the x-ray of my leg straight on looked perfect, the x-ray of that shows the side of my leg doesn't look so good. Basically, the smaller bone that was broken is healing up well but the bigger, shin bone, has come out of place and hasn't healed at all. I was gutted. I suppose I had all my hopes on coming home to Sheffield in March and now it looks like that's not going to happen. When Mr Dennison said that we'd have to move the bone into place, I panicked; I had visions of having my leg reset or another operation, but it just meant that the cage had to be tightened which would push the pins, and the bone, into a better position.

Mr Dennison got out a torque wrench and started tightening the bolts on my cage. It felt a little uncomfortable when he was tightening it but the real pain came when I stood up and my leg crunched the bone together. I was a bit wobbly walking with my crutches but it got easier the more I walked. I went for another x-ray and the difference in my leg was immediate. We could see that the frame was pushing my bones straight so it would heal properly.

My parents asked if they could see the first x-ray taken when I was admitted to hospital. I was so jacked up on morphine at the time so I was curious to see too. The x-ray, however, made me want to be sick. Although my leg was straight, my foot was at a right angle to the left- it was disgusting. Mr Dennison finished off the consultation by saying the fixation will be on for 6 months in a worst case scenario but as I'm young and don't smoke, hopefully it'll be off before then.

Dressings Day; A How To.

When I started this blog, I decided that I wanted it to help anyone else who was about to have (or already had) an external fixation fitted. I talked about dressings day previously but I realised that I hadn't quite explained the process. If you're squeamish (or hate hairy legs), feel free to ignore this post.



 1. Have a shower before you do your dressings.
With a fixator on, you're only allowed to get it wet once a week. In the shower, make sure you use no product on your fixated limb, only let water trickle across it. You can dry the cage with a hairdryer (on a cold setting) or gently with a towel.

Hairy leg alert!

2. Lift all the suckers up.
I'm not really sure of the proper name for these so I'm just going to call them suckers. You need to slide them up carefully away from the dressings. If you lift them and you haven't had a shower, they might stick and be a bit painful to separate, just take it slow. As you can see by the photo below, the dressing looks really gunky but don't worry; yellow, white, red puss is all a good sign. You should only be concerned if the goo is a bright yellow and causes you pain.

Pretty Gross.

3. Remove the dressings.
Next, remove all the dressings and put them into the bag that was included in your dressings kit. Inspect every pin site for sign of infection.

Ew

4. Soak the wipes in 70% alcohol solution and wipe around the pin sites.
If, like me, you have someone do the dressings for you, make sure they use tongs to prevent infection. When wiping the pin sites, make sure not to take off any scabs attached to the skin (unless they fall off naturally) and to wipe around the entry into the sin and the metal. You can use the wipe more than once but when it gets a bit dirty, throw it away and use a new one.

Soak in alcohol solution

Wipe around each site.

5. Make two insertions into the dressings and soak in alcohol.
First, you need to cut the new dressings with sterilized scissor. We general make one cut, halfway up. You then need to soak the new dressings in the alcohol solution.

Gold Toes! Remember to cut your dressings.

6. Wrap the new dressings around the pin sites and push the suckers back down.
Use one dressing for one pin site and wrap it around the metal on the skin as best you can. I'd advise doing all the dressings first and then push the suckers back down as some suckers and pins may overlap. Make sure if you have someone to do the dressings, that they use the tongs provided. If you do the dressings yourself, you can hold the dressings to the skin with your hands.

Pretend you're playing a game of operation.

That's it! You're all done! It's going to sting quite a bit and there's going to be some eye watering moments but overall, it gets better the more you do it. I always watch TV as it's being changed so it keeps my mind distracted from the task in hand. I'd advise not pushing the suckers down all the way to the skin as it gives the wound a bit or breathing space and it won't hurt as much when you take them off later. Remember that your dressings can only be changed once a week or the skin will blister but if you are worried about the colour of the goo, go to your local GP and they will advise you further.

Vistors

My time in hospital wasn't all doom and gloom. I had a large amount of friends come and visit me. My favourite visitor, however, was Geoff Woolhouse; the netminder for the Sheffield Steelers. Both my father, my partner and my friends were lobbying the Sheffield Steelers for one of the team to come and visit me and I was in a state of shock when he walked in the ward. Geoff signed my team flag and took my jersey away to be signed by all of the team. It was amazing (although I would have preferred to have met him in better circumstances).

I just want to take this post to say thank you to;

Gavin, Philippa, Ellie, Chris, Richard, Tom, Krysia, Louise from archery, Louise from work, Ella, Claire, Andy, Adam Kathy, Paul and my parents 

 for making the effort to visit me in hospital. 

I also want to thank all of the Sheffield Steelers Twitter community for being there throughout to cheer me up. 

The Cage

On Tuesday, 11th December, I decided I wanted the cage. The cage is my name for an external fixation. A doctor came by and explained what had happened to my leg. The break was serve and I had three options:

1.  I can remain in cast and the bones might heal. If the bones healed incorrectly, however, the bones would be re-broken, reset and I would have to review options 2 &3. 
2. I could have my leg plated and pinned. This meant an operated and a plate joining the bones together. Whilst this seems like a good idea, the risk of infection is very high.
3. I could be fitted with an external fixation with pens going through the bone allowing me to weight-bare.

I must admit, I didn't fancy my chances with any of those options and was left to think about it and talk it through with my family. A nurse came by later and introduced me to a woman on the next ward over with a fixation through her ankle. Whilst the fixation looked terrifying, she was walking and she wasn't in pain. It was then that I decided that I would go for option 3, the external fixation.

Resetting the mistakes

After my x-rays, I was wheeled into the fracture clinic into a private bay. I was given shots of morphine and gas and air was placed around my mouth. My partner was told to wait outside and it was explained that in order to put a cast on, the bones would have to be reset. I didn't know what that meant and was a bit hazy on what was happening. The next thing that happened was one of the worst experiences of my life.

To have bones reset means that they will literally manipulate the ends of the broken bone so that they are in a better position. This means they take the bones and crunch them together, hold them and then plaster it. It makes me sick to even think about what happened. I was in agony, I screamed, I lashed out so much that a nurse restrained me and then I passed out. Or I think I passed out because all I rememeber mostly is pain and darkness and screaming.

I wish I could say this process happened only once. I had my bones reset four times in total.