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[Functional results following Girdlestone arthroplasty].

M Rittmeister1, M Müller, M Starker

  • 1Abteilung für Rheumaorthopädie, Johann-Wolfgang-Goethe-Universität, Frankfurt am Main. m.rittmeister@freidrichsheim.de

Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|December 18, 2003
PubMed
Summary

Prognostic factors for Girdlestone ("G")-arthroplasty outcomes were investigated. Patient age, prior total hip replacements (THR), and duration of "G"-hips did not reliably predict functional results.

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Area of Science:

  • Orthopedic Surgery
  • Arthroplasty Research
  • Reconstructive Surgery

Background:

  • Girdlestone ("G")-arthroplasty is a salvage procedure for complex hip conditions.
  • Identifying predictors of functional outcomes is crucial for patient management.

Purpose of the Study:

  • To identify prognostic factors influencing postoperative function after Girdlestone ("G")-arthroplasty.
  • To evaluate the correlation between patient demographics, prior hip surgeries, and functional outcomes.

Main Methods:

  • Retrospective analysis of 87 patients (90 hips) undergoing "G"-arthroplasty between 1983 and 2000.
  • Assessment of functional outcomes using Hip Hip Score (HHS) and Merle d'Aubigné scores.
  • Statistical analysis to determine correlations between various factors and functional results.

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Main Results:

  • Hip scores averaged 38.7 (HHS) and 3.5 (Merle).
  • No significant correlation was found between the number of prior total hip replacements (THR) and "G"-arthroplasty function (r = -0.1400, p = 0.4524).
  • Revision following "G"-procedure and diabetes positively correlated (p = 0.0104); cement in the femoral canal and signs of infection correlated (p = 0.0572).

Conclusions:

  • Patient age, duration of "G"-hips, and the number of prior THR are not reliable predictors of functional outcome.
  • Factors such as revision surgery, diabetes, cement presence, and infection require further investigation for their impact on "G"-arthroplasty success.