Case update
23 - 04 - 2024
Thankfully, the bacteria was totally eradicated, so using antibiotics is not necessary

On June 5, 2023, Laith underwent his third surgery, during which the infection in his leg was completely cleaned. Additionally, an Ilizarov device was installed to stabilize his leg for three months. Laith was instructed on how to use it, increasing the length by 1 millimeter daily to aid in bone lengthening by 10 centimeters, which he lost in previous surgeries.

 

Three months after the third surgery, we received an update from Laith about his leg condition. He explained that there is a gap between two bones (as shown in the X-ray image), and the Ilizarov device was installed on the bone between the gaps to elevate it by 1 millimeter daily. This process helps in pulling the lower bone to merge with the upper bone, filling the upper gap. Ideally, calcium should fill the fracture in the bottom bone and rise upward through the food Laith consumes. However, unfortunately, this did not happen.

 

The doctor advised Laith to pause the elevation for two weeks to allow calcium to form in the bottom bone. The results will be assessed through an X-ray image of his leg. If successful, he will resume using the Ilizarov device.

 

Ten months after the third surgery, an X-ray revealed insufficient calcium formation, indicating that the bone did not grow as required. Therefore, the solution was a fourth surgery, performed on April 18, 2024. During this surgery, the Ilizarov device was removed, and a small bone from his other leg was taken and transplanted to fill the gap. The expectation is that within four to five months, the transplanted bone will fuse with the existing bone. Then, the final surgery will be performed, transferring the tendon to enable upward and downward movement of the foot.

 

Laith spent one day in the hospital after the surgery and is currently in a stable condition. Pain is expected after the surgery, but it will gradually subside with time and prayer.