::Griffblog::

Only recently I was thinking how lucky I had been to only suffer one pin infection very early on in the process.

Then last Saturday one of my pin wires sprung an infection which got worse very quickly. By Sunday I had another pin wire and one of the thicker pins also infected.

My earlier infection I now know was but a teaser and the discomfort I had back then was nothing compared with the agonising and completely debilitating pain that this one has demonstrated.

So Monday morning I saw my GP who quickly prescribed Phenoxymethylpenicillin and Flucloaxacillin, two types of high dose antibiotic and as my normal pain killer supply wasn’t touching this new source of pain, Co-Codamol in the high strength 30mg dose.

The main infection is in the pin closest to the top of my thigh.  It is in the worst possible place because the skin and flesh moves a lot in this area.  And movement = lots of pain.

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I came across an photograph taken a few days after the frame was fitted and noticed the difference in the gaps between the rings before the lengthening had begun and now with it all finished.

I’ve taken a quick snap as close to the original as possible for direct comparison but it’s immediately obvious how much lengthening has been achieved in less than a month. You can also see a gap between one part of the frame/pin and the skin has appeared where before, the leg was so swollen that it was tight against the frame metalwork.

The red sections are the lengthening rods, compare before and after! The blue box highlights the area where the surgeons made the incision to break the bone, look how tight it was against the skin whereas now there is an inch or so gap!

All but two of the pins have stabilised so much now that they require just the daily cleansing, no dressings needed. Only one wire pin at the top of my thigh (and which goes straight through the leg exiting in my buttock) requires dressing still, mainly because the skin around it is being moved each time I sit or stand.

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Medical professionals will tell you that infections are not ‘if’ but when with ilizarov and TSF frames. The bone/skin interface of the protruding pins is a haven for bugs and they can take hold very quickly as a result.

So with little pomp I presented myself at my GP’s Surgery last week. A pin site had become increasingly sore and inflamed over a few days and the skin surrounding it had begin to break down.

Sure enough my GP agreed that it is almost certainly infected. A swab was taken for testing but hard lumps under the skin are an indication that a possible abscess had already formed. The pin wire goes right through my leg from front to back and both ends are infected, one minor, one bad. And so I am now on a course of very strong antibiotics.

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My op last Friday went ahead as planned and 6 days later (yesterday) I was released home. I now sport a rather gruesome looking femoral ilizarov fixator frame worth a cool £6k!

It’s taking some major adjustments of course and it still very early days but I’m doing my very best to remain positive.  I had the Op 9am Friday morning which took 6hrs and arrived on the ward at 4.30pm.  Saturday was spent in bed but Sunday I was walking to the shower using a frame which is amazing progress given the operation.

The frame itself has 4 rings and stretches from high on my hip to my knee.  Mid-way is the adjustment section with 4 long threaded bolts that will be used for the lengthening procedure which begins next Tuesday. This is simple, each adjuster is turned a set number of times every day to achieve 1mm distraction per day. As I have 25mm of bone to grow it should take a month if the bone grows at the expected 1mm/day. We get shown what to do on Tuesday and then it is down to us to do at home each day!

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