MRSA 骨髄炎に併発した大腿骨骨折の治療経験

抄録

We treated an 81-year-old female who had femoral fracture with osteomyelitis by MRSA. She underwent osteosynthesis of the femoral neck fracture in 2000. Two years after the operation, her thigh became infected, for which she underwent operations such as removal of prosthesis, continuous irrigation, and plugging of PMMA cement beads with VCM. Unfortunately, she suffered a femoral fracture again. We performed osteosynthesis using the gamma-nail and grafted calcium phosphate cement (Biopex) with VCM to the bone defect, and obtained good results Biopex is useful for grafting to the bone defect when osteosynthesis is required for the treatment of fractures with osteomyelitis by MRSA.