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Excision arthroplasty for infected total hip replacements.

J P McElwaine, J Colville

    The Journal of Bone and Joint Surgery. British Volume
    |March 1, 1984
    PubMed
    Summary

    Excision arthroplasty for infected total hip replacements significantly reduced pain but yielded poor functional outcomes. Patients experienced fatigue and instability, highlighting limitations for elderly or medically compromised individuals.

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    Area of Science:

    • Orthopedic Surgery
    • Infectious Disease Management

    Background:

    • Infected total hip replacements pose significant challenges in management.
    • Excision arthroplasty, or Girdlestone's pseudarthrosis, is a salvage procedure for such cases.

    Purpose of the Study:

    • To evaluate the clinical outcomes of excision arthroplasty in patients with infected total hip replacements.
    • To identify factors influencing functional results after this procedure.

    Main Methods:

    • A retrospective review of 22 patients undergoing excision arthroplasty for infected total hip replacements.
    • Minimum one-year follow-up assessing pain, function, and patient-reported outcomes.

    Main Results:

    • Significant reduction in pain was observed post-surgery.
    • Functional results were generally poor, with patients experiencing fatigue and dependence on walking aids.
    • Factors like advanced age, comorbidities, and contralateral hip arthritis correlated with poorer function.

    Conclusions:

    • Excision arthroplasty can alleviate pain in infected total hip replacements.
    • However, functional outcomes are often suboptimal, particularly in elderly or comorbid patients.
    • Careful patient selection and expectation management are crucial for Girdlestone's pseudarthrosis outcomes.

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