Girdlestone hip arthroplasty, though described as a salvage procedure for infected hip joints, can also be considered for failed Hemiarthroplasty procedures. The functional results of such Girdlestone hip may not be satisfactory. They may require total hip replacement to improve the quality of life, which are technically challenging. Here we are reporting such a case ina 60 year old male patient, with review of literature. A 60 year old male patient underwent cemented bipolar hemiarthroplasty for fracture neck of femur which failed, owing to improper implantation.

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The Girdlestone procedure also known as a femoral head ostectomy or Girdlestone resection arthroplasty is an excision arthroplasty of the hip.

The procedure inevitably results in limb shortening. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Updating… Please wait. Unable to process the form. Check for errors and try again. Thank you for updating your details. Log In. Sign Up. Log in Sign up. Articles Cases Courses Quiz. About Blog Go ad-free. As of the latest update, Google Chrome and Microsoft Edge have made a breaking change to how file uploads are handled. Once your system installs this update, you will not be able to upload new images.

Please use another browser until we can get it fixed. Girdlestone resection arthroplasty following failed surgical procedures. Int Orthop. Girdlestone GR. Acute pyogenic arthritis of the hip: an operation giving free access and effective drainage.

Seyed B. Who's Who in Orthopedics. Promoted articles advertising. Edit article Share article View revision history Report problem with Article. URL of Article. Article information. System: Musculoskeletal. Section: Signs. Tags: stub , ref link , cases , ortho. Synonyms or Alternate Spellings: Femoral head ostectomy Girdlestone's procedure Girdlestone resection arthroplasty.

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Girdlestone Arthroplasty

Head and neck resection of the femur was described by Girdlestone in in the treatment of coxalgia. The reported results are controversial. In this context, we report the results of a series of 24 patients operated in a regional hospital Ouahigouya, Burkina Faso with the aim of showing that this technique remains valid and can be benefit. This was a retrospective descriptive study of 24 patients who had benefited from the procedure for cervical fracture sequelae, failure of arthroplasty or osteosynthesis, or osteonecrosis. All patients had Trendelenburg lameness with a mean shortening of 3.


2018, Number 1

A series of 92 patient who underwent excision arthroplasty of the hip Girdlestone arthroplasty as a primary procedure is presented. The operation was performed for various conditions which included femoral neck fracture, rheumatoid arthritis, ankylosing spondylitis, tuberculosis, septic arthritis, unreduced posterior dislocation of long duration, fracture of the acetabulum, avascular necrosis of femoral head and bony ankylosis. Excision of head and neck of the femur was found to be an excellent salvage procedure for infected hips especially yielding uniformly satisfactory results at all ages irrespective of the disease. It provided a painless, mobile hip. Except for shortening and unstable gait, no other handicap was observed; the disadvantages of this handicap were outweighed by its advantages, compared with the disadvantages of other sophisticated hip operations such as replacement, and mould arthroplasties or even total hip replacement. In view of its functional end results, we feel that this measure can be a good alternative to more modern and sophisticated hip operations in the form of partial or total hip replacement under Indian conditions. This site needs JavaScript to work properly.

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