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Conversion of resection arthroplasty to total hip replacement
1Department of Orthopedic Surgery and Rehabilitation, Hahnemann University, Philadelphia, Pa 19102-1192.
Orthopedics
|December 1, 1994
Summary
Converting a Girdlestone arthroplasty to a total hip replacement (THR) requires careful debridement and antibiotic treatment. This procedure can restore function and independence in patients with Girdlestone pseudoarthrosis.
Area of Science:
- Orthopedic surgery
- Infectious disease management in joint replacement
Background:
- Girdlestone arthroplasty is a salvage procedure for infected hip joints.
- Conversion to total hip replacement (THR) presents surgical challenges.
Observation:
- Successful conversion requires meticulous debridement during resection.
- Long-term antibiotic therapy is crucial for managing persistent sepsis.
- Pre-operative assessment of bone stock is vital for revision techniques.
Findings:
- Conversion of Girdlestone pseudoarthrosis to THR can achieve favorable functional outcomes.
- Close patient monitoring for sepsis using ESR, aspiration, and examination is essential.
Implications:
- This approach can restore patient independence and mobility.
- Careful surgical planning and post-operative management are key to success.