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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
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.
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.
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.