Treatment of MRSA Pyogenic Arthritis of Hip Using Hydroxyapatite Blocks Impregnated Antibiotic: A Case Report

We report a case of pyogenic arthritis of hip treated with calcium hydroxyapatite blocks impregnated antibiotic. A 76-year-old male with a history of diabetes visited our hospital with high fever and right hip pain. He was diagnosed with MRSA arthritis of the hip by magnetic resonance imaging and cu...

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Published inOrthopedics & Traumatology Vol. 58; no. 1; pp. 23 - 26
Main Authors Miyazaki, Takehiro, Hijioka, Akihiko, Hara, Natuki, Ookuma, Satoru, Toba, Naoki, Fukuda, Fumio
Format Journal Article
LanguageJapanese
English
Published West-Japanese Society of Orthopedics & Traumatology 25.03.2009
Subjects
calcium hydroxyapatite blocks
magnetic resonance imaging
MRSA arthritis of hip
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Summary:We report a case of pyogenic arthritis of hip treated with calcium hydroxyapatite blocks impregnated antibiotic. A 76-year-old male with a history of diabetes visited our hospital with high fever and right hip pain. He was diagnosed with MRSA arthritis of the hip by magnetic resonance imaging and culture. Immediately, curettage and closed continuous irrigation of the hip was performed. Unfortunately the inflammation relapsed three months later. As a second operation, we used hydroxyapatite blocks impregnated with vancomycin in the femoral bone. The patient was healed and he could walk after one year and three months from the second operation.
ISSN:0037-1033
1349-4333
DOI:10.5035/nishiseisai.58.23