Unfortunately, during his time in rehab, his surgeon, Kelsey Davidson, M.D., saw that the fracture in Ivan’s left upper leg was not healing. “When the fracture didn’t heal, we took out the femoral nail in his bone that was stabilizing the fracture,” said Dr. Davidson. “We put a new one in, which is a technique used to stimulate the fracture to heal.”
After the surgery, clear signs of infection were apparent in his surgical wounds. Dr. Davidson said, “We got his cultures back and it was the same bacteria he had in his bone in Georgia. It was likely sitting there. So for three months, we were just trying to get that infection under control.”
He has also undergone multiple surgeries since, as well as specialized wound care. “After one of his surgeries, the incision opened up, which is not uncommon when there is underlying infection,” said Dr. Martinez. “Dr. Davidson managed this with a wound vac, and then I transitioned him to just dressing changes. With wet-to-dry dressing changes, the wound closed up in less than three weeks.”
A year later, Ivan continues to use a custom ankle foot orthosis on his right leg. Shriners Children's offers in-house prosthetics and orthotics services at most locations. As another attempt to restore his left leg bone, Dr. Davidson and plastic surgeon Chad Purnell, M.D., performed a rare 10-hour surgery with a fibular free flap, moving a bone from his lower leg to the fracture area. "It will be 6-12 months before we know if the surgery worked to give Ivan back the ability to walk without a walker or a wheelchair," Dr. Davidson said. "Ivan and his mom have been so strong and so positive throughout the entire experience, even despite all the setbacks. It's incredible."
The family only recently decided to speak publicly about their experience. “It is all easier to talk about now. It was extremely hurtful to talk about a year ago,” said Maiia. “We would like people to know about the war in Ukraine. Not about us in particular, but about the war, so that the war would cease as fast as possible. We need the world’s help.”
The family looks forward to returning to Ukraine when Ivan is medically ready. During his treatment in America, he completed school online with his class. He is now studying online at a university in Ukraine to earn a degree in physical therapy. The teenager who came across the globe to receive care and therapy now wants to use his experience to help others.