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Girdlestone resection arthroplasty following failed surgical procedures
H Sharma1, J De Leeuw, D I Rowley
1Department of Trauma and Orthopaedics, Victoria Infirmary, Glasgow, Scotland, G42 9TT, UK. hksharma1@aol.com
International Orthopaedics
|February 11, 2005
Summary
Girdlestone resection arthroplasty can salvage severely damaged hips, offering pain relief and infection control in elderly patients. However, high mortality and the need for walking aids are significant considerations.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
Background:
- Girdlestone resection arthroplasty is a salvage procedure for complex hip failures.
- Indications include infection, loosening, dislocation, and failed fracture fixation.
Purpose of the Study:
- To evaluate the outcomes of Girdlestone resection arthroplasty in patients with failed hip surgeries.
- To assess mortality, pain relief, infection control, and patient satisfaction.
Main Methods:
- Retrospective review of 43 patients undergoing Girdlestone resection arthroplasty (1990-2002).
- Analysis of indications, mortality, re-implantation rates, pain, infection, and functional outcomes.
Main Results:
- Overall mortality was 58%.
- In 14 surviving patients, 12 reported adequate pain relief and all had infection controlled.
- All survivors required walking aids; patient satisfaction was 10/14.
Conclusions:
- Girdlestone arthroplasty is a viable salvage option for medically compromised patients with irretrievably failed hips.
- Higher mortality observed in trauma cases compared to total hip arthroplasty failures.
- Clear patient counseling regarding limb shortening and mobility limitations is crucial.