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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A short to mid-term follow-up study. Leave a Reply Cancel reply Your email address will not be published.
The results of girdlestone hips vary from good to poor in the various studies published. 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.
The acetabulum was filled with hard fibrous tissue which was completely cleared and acetabular floor was prepared.
Girdlestone Procedure or Excision Arthroplasty of Hip
However the muscle strength around the hip in such cases which are operated multiple times is difficult to assess. I am not saying it is an infection.
This article has been cited by other articles in PMC. Arhtroplasty X-ray showed gross proximal migration of arthroplaaty with porotic trochanter and cement mantle. As the drugs become more effective and revision arthroplasty yielding better results, in cases of infected prosthesis antimicrobial, definitive excision arthroplasty has become a salvage operation.
Nil Source of Support: Girdlestone hip arthroplasty, though described as a salvage procedure for infected hip joints, can also be considered girdlestons failed Hemiarthroplasty procedures. This generally happens where the disease has healed with minimal fibrosis and scarring of the capsule and soft tissues.
Overall, Girdlestone arthroplasty provides an unstable pain-free hip.
Girdlestone procedure is mostly done for the tubercular hip. Introduction Hemiarthroplasty unipolar or bipolar of the hip is a commonly performed procedure in elderly patients with intracapsular displaced fractures of the neck of femur with good short-term results with regard to pain relief, return to activity, morbidity and mortality [ 123 ]. An improperly implanted bipolar prosthesis creates more problems with one of the options being a Girdlestone arthroplasty.
Replacement surgery is more acceptable procedure across the races as it provides stable, pain-free hip, with functions close to the original hip.
Hemiarthroplasty unipolar or bipolar of the hip is a commonly performed procedure in elderly patients with intracapsular displaced fractures of the neck of femur with good short-term results with regard to pain relief, return to activity, morbidity and mortality [ 123 ].
The recent X-ray of the hip [ Fig 4 ] showed gross proximal migration of femur with osteoporotic greater girdlestobe and cement mantle without any arthroplsaty of loosening.
That is how procedure has been described and done at all the centers I did attend. Pradeep bhosle et al in their series of 89 cases inwhere Total hip replacement was performed for failed hemiarthroplasty concluded that THR is an excellent option in failed hemiathroplasty cases [ 11 ]. By using this form you agree with the storage and handling of your data by this website.
If so then forces that act on hip could result in the fracture especially when the hip is weak. Active physiotherapy and exercises in traction help patients to develop good muscle power, the maximal range of hip movements. Conclusion The longevity of implants following hemiarthroplasty depends on its proper placement. This allows an adequate layer of fibrous tissue is more likely to form over both.
The patient was thoroughly investigated to rule out any signs of underlying infection. Each case has to be looked at individually and decision to offer a Total hip in such cases should be taken judiciously in consultation with the patient, after explaining pros and cons with a guarded prognosis.
Girdlestone Procedure or Excision Arthroplasty of Hip | Bone and Spine
Subscribe to our Newsletter and get latest publications on Musculoskeletal Health your email inbox. He concluded that if the surgery is done well the result is good with dramatic relief from the condition.
An undisplaced split in the trochanter was stabilized using a steel agthroplasty. After that, walking with girdllestone walking stick is started. Arun Pal Singh is an orthopedic and trauma surgeon, founder and chief editor of this website. Discussion Intracapsular fracture neck of femur is one of the most common fragility fractures in the elderly.
Traction and bracing during walking keeps cut the upper end of the femur and the outer surface of acetabulum apart from one another. Excision arthroplasty may rarely leave behind a very unstable hip joint.
Conversion of failed hemiarthroplasty to totalhip arthroplasty: This website is an effort to educate and support people and medical personnel on orthopedic issues and musculoskeletal health. The walking and standing tolerance vary from patient to patient. Could you please confirm as how much time it will take to walk with a suitable crutch support and without support. His temperature is normal so I do not think he has an infection and the thigh feels normal to touch — no redness or hotness. Any suggestions or ideas as to what could be happening?
It provided a painless, mobile hip. Converting such failed cases to Girdlestone hip arthroplasty may not be a good option.