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Related Experiment Videos

Girdlestones excision arthroplasty: current update.

I Basu1, M Howes, C Jowett

  • 1Orthopaedic Department, Queens Hospital, Rom Valley Way, Romford RM7 0AG, United Kingdom. ibasu@doctors.org.uk

International Journal of Surgery (London, England)
|February 15, 2011
PubMed
Summary
This summary is machine-generated.

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The Girdlestone procedure is a salvage operation for high-risk patients, often with prosthetic joint infections. While it can resolve infection and provide pain relief, it carries a high mortality rate and is best reserved as a last resort.

Area of Science:

  • Orthopaedic Surgery
  • Infectious Disease Management

Background:

  • The Girdlestone procedure is infrequently documented in recent literature.
  • It is typically reserved as a salvage operation for patients with significant comorbidities.

Purpose of the Study:

  • To update current literature on the Girdlestone procedure.
  • To review the modern role of this intervention in orthopaedic practice.

Main Methods:

  • Observational study analyzing 24 patient records.
  • Investigated patient demographics, indications, and comorbidities.
  • Assessed functional outcomes and satisfaction using the abridged Harris Hip Scoring questionnaire in 17 patients.

Main Results:

  • Average patient age was 78 years, with multiple comorbidities (e.g., dementia, cardiovascular, respiratory disease).

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  • Persistent prosthetic infection, often with Staphylococcus aureus, was the primary indication.
  • 41% overall mortality; surviving patients achieved infection resolution, 65% had adequate pain control.
  • Functional outcomes included limited mobility (no unaided ambulation), but 29% could manage stairs and mobilize outdoors.
  • Only 29% reported dissatisfaction with the outcome.

    • Conclusions:

    • Girdlestone procedure candidates are typically elderly and high-risk.
    • The procedure can yield good functional outcomes and infection resolution in select cases.
    • High mortality necessitates its use strictly as a last resort.