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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Better results with total hip arthroplasty in Girdlestone hips can be expected in cases where more bone on the proximal femur can be preserved [ 7 ]. Leave a Reply Cancel reply Your email address will not be published. Get more on Musculoskeletal Health in your inbox Subscribe to our Newsletter and get updates delivered to your email inbox.

The postoperative Artheoplasty hip score was Hemiarthroplasty will fail if not done properly. An improperly implanted bipolar prosthesis would create more problems to the patient, leaving the surgeon to choose one of the options being a Girdlestone arthroplasty. Gradually he might leave the support though that is not advised.

Post operative x-ray showing the proud bipolar prosthesis and extravasated cement. An arthriplasty stem could not be used as the reduction was difficult, even with the smallest trial offsets. A discussion with the doctor who is seeing him might help you further. A sudden twist or jerk during walk may also be responsible.


Introduction Hemiarthroplasty unipolar or bipolar of the hip is a commonly performed procedure in elderly patients with arhhroplasty displaced fractures of the neck of femur with good short-term results with regard to pain relief, return to activity, morbidity and mortality [ 123 ].

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 operations such as replacement, and mould arthroplasties or even total hip replacement. The procedure was developed by British surgeon Gathorne Girdlestone as a lifesaving gifdlestone to remove disease and devitalized tuberculous hips in the pre-antibiotic era.

Discussion Intracapsular fracture neck of femur is one of the most common fragility fractures in the elderly. Here we are reporting such a case ina 60 year old male patient, with review of literature. The old post-operative x-rays showed a proud bipolar prosthesis with extravasations of cement from proximal femoral aspect.

I checked and found studies reporting that they found no difference in functional outcomes or limb shortening between the patients who underwent skeletal traction for 3 weeks and those who had early mobilization without skeletal traction.

International Orthopaedics [Int Orthop] May; 36 5: Nearer to the trunk.

Total Hip Arthroplasty in a Girdlestone Hip following a Failed Hemiarthroplasty

Active physiotherapy and exercises in traction help patients to develop good muscle power, the maximal range of hip arthroplxsty.

The traction is kept for 3 months.


My friend underwent a left hip Girdlestone aratroplasty with tendon releases in July Clayer M, Brucknr J. This article has been cited by other articles in PMC. The patient was able to walk independently with the help of a stick, has mild pain on walking for more than a kilometer.

Critical radiological analysis after Austin Moore hemiarthroplasty. The mantle was drilled with 3.

Girdlestone Procedure or Excision Arthroplasty of Hip | Bone and Spine

Author information Copyright and License information Disclaimer. Since, last one year he has been walking with pain, limp, shortening and instability. The patient is ambulant without support, without any significant pain at present though shortening of the limb of about 2.

Most patients are managed by replacement with either a hemiarthroplasty or a total hip arthroplasty. Improper implantation in Hemiarthroplasty fails subsequently. The breach in the wall, which was about 6mm in diameter was identified immediately and the exposure was further extended to visualize it.

A series of 92 patient who underwent excision arthroplasty of the hip Girdlestone arthroplasty as a primary procedure is presented. After that, walking with a walking stick is started. The standard posterior approach was used to expose the hip joint. Shortening of the limb is inevitable with Girdlestone procedure.