Girdlestone procedure is excision arthroplasty of hip in which femoral head, neck, proximal part of trochanter and the acetabular rim are removed. Modern technological advancements in revision hip arthroplasty have revolutionised the treatment of failed primary total hip replacements. The decision to. Girdlestone resection arthroplasty should be considered as a salvage procedure, primarily aimed at pain relief and infection control. Such patients must be.

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Critical radiological analysis after Austin Moore hemiarthroplasty. At times the degree of function arthroplast good. Excision of head and neck of the femur was found to be an excellent salvage procedure for infected hips especially yielding uniformly satisfactory results at all ages irrespective of the disease.

I hope that helps. Arch Orthop Trauma Surg.

Girdlestone Procedure or Excision Arthroplasty of Hip | Bone and Spine

The old post-operative x-rays showed a proud bipolar prosthesis with extravasations of cement from proximal femoral aspect. For optimum results regimen of postoperative care is essential.

Here we are reporting such a case ina 60 year old male patient, with review of literature. The hip joint aspiration under C-arm guidance was done to rule out any infective collection which turned out to be negative.

It provided a painless, mobile hip. Subscribe to our Newsletter and get updates delivered to your email inbox. Hem may take anytime between months to walk with support. In such cases Girdlestone arthroplasty may be an option to consider, though it may not give requisite relief to patient in some cases.


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InPankaj A, Surya bhan et al in their series of 44 cases concluded that conversion of symptomatic hemiarthroplasty to total artbroplasty arthroplasty is a safe arthrooplasty that gives good functional results, with marginally higher rates of intra-operative complications [ 10 ].

It is generally reserved for those with significant co-morbidities or in cases where the revisions have repeatedly failed. Author information Copyright and License information Disclaimer. There are no reports of Reimplantation girdlrstone Total hip components in a case, arthroplsaty a failed hemi replacement is converted to a Girdlestone hip, as in our case report. This article has been cited by other articles in PMC. It is a movement in coronal plane.

In such cases where Hemiarthroplasty has failed or subsequent Girdlestone hip arthroplasty has failed to give relief to patient, Total hip arthroplasty should be considered though it is technically demanding especially after 2 failed surgeries prior to it.

If the hip is weak even an action like standing from a sitting position may result in a break and further forces cause further injury. The immediate post-operative period was uneventful and he was made to walk girrdlestone support on the 3rd day. Patient has been ambulant without pain till his last follow up of 1 year. It is impossible to imagine what causes injury in case a clearcut history of trauma is present. Ten-year patient and prosthesis survival after unipolar hip hemiarthroplasty in female patients over 70 years old.


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John Peel, We do follow Girdlestone procedure with skeletal traction. Movement away from the central axis. After that, walking with a walking stick is started. Conversion of failed hemiarthroplasty to totalhip arthroplasty: Except for shortening and unstable gait, no other handicap was observed; the disadvantages of this handicap were outweighed by its advantages, compared with the disadvantages of other sophisticated hip arthroplastj such as replacement, and mould arthroplasties or even total hip replacement.

The patient is ambulant without support, without any significant pain at present though shortening of the limb of about 2. X-ray showing the fracture neck of femur which the patient had sustained one and half years back.

Improper implantation arthro;lasty Hemiarthroplasty fails subsequently. Excision arthroplasty may rarely leave behind a very unstable hip joint.