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Girdlestone arthroplasty

S Sharma, L Gopalakrishnan, S S Yadav

    International Surgery
    |October 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Girdlestone arthroplasty, a hip surgery, is an excellent salvage procedure for infected hips, offering a painless and mobile joint. Despite potential leg shortening and gait instability, its benefits outweigh those of more complex hip replacement surgeries.

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    Area of Science:

    • Orthopedic Surgery
    • Reconstructive Surgery

    Background:

    • The Girdlestone arthroplasty involves excision of the femoral head and neck.
    • This procedure has been utilized for various hip pathologies, including infections and complex fractures.

    Purpose of the Study:

    • To evaluate the functional outcomes of Girdlestone arthroplasty as a primary procedure.
    • To compare the efficacy of Girdlestone arthroplasty with other hip replacement techniques.

    Main Methods:

    • A retrospective analysis of 92 patients undergoing Girdlestone arthroplasty.
    • Assessment of outcomes based on pain relief, mobility, and functional limitations.

    Main Results:

    • The procedure yielded satisfactory results in 91% of cases (21% excellent, 44% good, 26% fair).

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  • Key advantages included a painless and mobile hip, particularly effective for infected joints.
  • Common drawbacks were leg shortening and gait instability, considered acceptable trade-offs.

    • Conclusions:

    • Girdlestone arthroplasty is a highly effective salvage procedure for infected hips, suitable for all age groups.
    • It presents a viable alternative to total hip replacement, especially in resource-limited settings like India.