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.

Walking again.

The idea of the external fixation is that you can weight-bare through it straight away. In theory, after my operation, I would've got up and walked away. But life isn't that easy.
Physiotherapy started the day after my operation. I was given a walking frame and had to make my way from the bed to the chair, an easy enough task, so you'd think.

I was in agony lowering my leg from the bed to the floor, the blood rushing to my leg also brought feeling. I was with two physios, each helping me from the bed to the frame. I managed to stand and hobble over to the chair by the side of my bed. Something that would've taken a normal person seconds, took me fifteen minutes. Evey time I bent my leg, a hot pain would rush to my knee and when I tried to walk, my leg wouldn't respond in the way I wanted it to. There were moments where I thought my leg was out in front of my body but in actual fact it was parallel.

I got through my physio with thanks to only my mother. Without her, I would still be stuck in hospital struggling to get up from my bed. My mother devised a system where I would get up and down from my chair five times to earn a gold star. We spent hours in one night on getting just one star, to ease my leg into be bent and straightened over and over. By the time the physiotherapist came the next morning, I could get up with ease.

The next step of my recovery was walking with the walking frame. Like I mentioned above, it was difficult to get my leg to respond and when I wanted to move my foot forward, it would hang limply, not responding. Again all night, we practised walking with the frame, ever so slightly. I'll admit, I cried a lot through my physiotherapy. It hurt every time I moved and to put pressure on the bones was excruciating. When the physio returned the next day, I could walk a short distance with my frame. I was happy and was told I could go home if I progressed to the crutches.

Little did I know that crutches would be my downfall. I hated my crutches right from the start. They didn't support me in the way the walking frame did and the tile floors, to me, seemed slippery. I practised slightly with the crutches but less support from them meant more stress on my leg. Soon, I had blisters on my hands, my arms ached and I cried in pain every time I stood up. My medication was doubled to deal with the pain but done little to help me walk.

At this point, it was two days until Christmas and I desperately wanted to go home. I had to prove to the physiotherapist that I could walk. I grabbed my crutches and screamed inside every step I took but I walked the required length. This was good news, I could manage the length of an average room. The bad news however, there was another task I had to complete before I was allowed home; stairs.

I still don't know how I managed those steps but my determination to go home for Christmas was greater than my pain. I was dismissed from hospital on Christmas eve. 

The worst time to fall

On the 8th of December, I was admitted to hospital. I didn't leave until the 24th.
The date I fell was one of the busiest A&E days the hospital had seen in ten years. I was not a priority. Whilst I had decided I wanted the external fixation, I was not operated on until the 18th December. In those ten days I'd had around twenty injections, two blood tests and an IV line; not bad for someone who is terrified of needles.