Treatment of Chronic Osteomyelitis of the Femur by Intramedullary Antibiotic Perfusion (iMAP): A Case Report.

Journal: Journal of orthopaedic case reports
Published Date: Dec 1, 2021

Abstract

INTRODUCTION: Chronic osteomyelitis is difficult to cure definitively, because local areas are often covered with sequestrum and scar tissues with a poor blood flow; these may render systemic antibiotic administration ineffective. We present a case of chronic osteomyelitis that was successfully treated with continuous local antibiotic perfusion (CLAP) through an intramedullary antibiotic perfusion (iMAP) pin.

Authors

  • Keisuke Oe
    Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
  • Akihiro Maruo
    Department of Orthopaedic Surgery, Steel Memorial Hirohata Hospital, Himeji, Japan.
  • Tomoaki Fukui
    Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
  • Hirotsugu Muratsu
    Department of Orthopaedic Surgery, Steel Memorial Hirohata Hospital, Himeji, Japan.
  • Ryosuke Kuroda
    Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
  • Takahiro Niikura
    Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.

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