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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In this case where the proximal femur was completely intact was ideal for conversion to total hip arthroplasty. A series of 92 patient who underwent excision arthroplasty of the hip Girdlestone arthroplasty as a primary procedure is presented.

The traction is kept for 3 months.

Total Hip Arthroplasty in a Girdlestone Hip following a Failed Hemiarthroplasty

The outcome of Austin-Moore hemiarthroplasty for fracture of the femoral neck. Any suggestions or ideas as to what could be happening? The postoperative Harris hip score was By using this form you agree with the storage and handling of your data by this website.

Could you please confirm as how much time it will take to walk with a suitable crutch support and without support. A short to mid-term follow-up study. Though technically challenging, total hip arthroplasty in certain cases will give a relatively stable and painless hip, as is the observation in our case. The patient is put on skeletal traction in 30 to 50 degrees of Abduction It is a movement in coronal plane. This site uses Akismet to reduce spam. Once the preparation of acetabulum was done the proximal femur was exposed without having to do the trochanteric osteotomy, the cement mantle in the proximal part of shaft was removed with some effort enblock, but the distal mantle was impacted in the shaft.


Ten-year patient and prosthesis survival after unipolar hip hemiarthroplasty in female patients over 70 years old.

On October 5, he had a right hip fracture. The weight is borne using a weight-relieving caliper and crutches which is continued for months. Away from the median plane. There are no reports of Reimplantation of Total hip components in a case, where a failed hemi replacement is converted to a Girdlestone hip, as in our case report.

The longevity of implants following hemiarthroplasty depends on its proper placement. It is impossible to imagine what causes injury in case a clearcut history of trauma is present. Improper implantation in Hemiarthroplasty fails subsequently.

Hemiarthroplasty will fail if not done properly. The functional results of such Girdlestone hip may not be satisfactory. In Markus E Rittemeister et al in their series of 39 patients assessed the functional outcome of total hip replacement following Girdlestone hip arthroplasty.

Awaiting for your response. It is opposite to adduction. The results mentioned in the literature are not generally uniform.

The patient was thoroughly arthrooplasty to rule out any signs of underlying infection. Arch Orthop Trauma Surg. It is generally reserved firdlestone those with significant co-morbidities or in cases where the revisions have repeatedly failed. Due to his age 88 he is basically bedridden, however today I noted that the affected thigh is much larger than the normal leg and he experienced pain when I moved the leg.


The patient had sustained fracture neck of femur following a fall while working one and half years back [ Figure 1 ]. Get more stuff on Musculoskeltal Health Subscribe to our Newsletter and get latest publications on Musculoskeletal Health your email inbox.

Movement away from the central axis. He was not placed on a skeletal traction nor sent to rehab instead he was discharged 4 days later to come to his residential home. Leave a Reply Cancel reply Your email address will not be published.

Girdlestone arthroplasty.

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. 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 ].

Support Center Support Center. The patient gave history of lengthening of the operated limb, which he noticed on day one. The hip joint aspiration under C-arm guidance was done to rule out any infective collection which turned out to be negative.