Clinical case of therapeutic fierceness. 60-year-old female pa | MedRophine Science

Clinical case of therapeutic fierceness. 60-year-old female patient operated at 6 years of age on the right leg for lengthening of the tibia and fibula due to severe dysmetria. Orthopedic surgery with 4 hardware nails in knee access and 4 in ankle hardware, increasing the distance 1mm / day. Later reoperated at 7 years of age due to poor evolution, valgus leg and deformation. He proceeded to reoperate at the age of 9, complete ankle arthrodesis was performed, part of the hardware was removed and the leg was scaled. Several weeks later the patient complains of pain in the leg and when removing the plaster, a wound due to a displacement of a hardware is seen, which produces a fistula that remained open for 13 consecutive years, with continuous cures and an episode of sepsis that almost led to his amputation below the tibiofemoral joint. Currently, dysmetria and chronic pain persist with drug treatment and physical rehabilitation. the multiple access scars of the metal fixators in the successive reoperations.