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.
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| Hairy leg alert! |
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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.
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| 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.
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| 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.
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| Soak in alcohol solution |
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| 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.
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| 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.
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| 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.
