Alex J., 18

Alex has sickle cell disease, but he hasn't been able to afford regular medication or check-ups. About 5 years ago, he developed a wound on the bone of his leg, and this wound has been getting worse over time. People with weakened immune systems, like those with sickle cell disease, are more likely to develop a bone infection called osteomyelitis. His leg has been oozing pus and has a foul smell. Despite attempts to surgically drain the infected fluid or remove damaged tissue and bone, it hasn't improved. A significant amount of bone tissue has been lost, and his leg has become very weak and hardly functional. After several consultations and reviews, it was unfortunately decided that the best course of action is to amputate Alex's leg.

Alex, a known patient with sickle cell disease (SCD), had been suffering from a chronic wound on his left leg. Despite being diagnosed with chronic osteomyelitis and undergoing a sequestrectomy a year ago, the wound persisted. On examination, Alex appeared very pale, which is common in SCD patients, especially when a wound reaches the bone, as it can lead to severe anemia. His leg wound was severely infected, with exposed bone and eroded bone cement, giving off a foul smell and pus. The damage to his leg was too severe to be repaired, but the doctors knew they could save his life through an above-knee amputation. Alex was taken to the operating theater, where the procedure was successfully done, and he received a blood transfusion to help stabilize him. Afterward, Alex underwent physiotherapy sessions and was trained to walk with crutches and one lower limb. Today, Alex is doing well and was discharged in good health. A visit to his home found both Alex and his parents overjoyed and deeply grateful for the life-changing help provided by Helpster Charity. Their hearts were full of joy, knowing that Alex has a brighter future ahead, thanks to the support and care he received.

Diagnosis of chronic osteomyelitis was made, debridement and sequestrectomy was done. There was significant bone and muscle lose. The blood supply is compromised. Due to the extensive osteomyelitis and tissue loss, the prognosis is poor. Patient needs above knee amputation and later prosthesis and physiotherapy.