Two main types of the procedure have been described: primary and secondary. A primary Girdlestone resection arthroplasty is performed for primary hip disorders (e.g., septic and tuberculous hip and rarely osteoarthritis and rheumatoid arthritis). The secondary or modified Girdlestone resection arthroplasty is used for failed hip replacement or failed construction after hip trauma.
The primary procedure is rarely used in modern practice. The majority of Girdlestone resection arthroplasties performed today are the secondary type and performed in patients who are not healthy enough for further major interventions (e.g., one- or two-stage reimplantations) after failed primary total hip replacement. It is also performed as the first stage of a two-stage revision in selected patients.
- Girdlestone GR. Acute pyogenic arthritis of the hip: an operation giving free access and effective drainage (1943). Clin Orthop Relat Res. 2008 Feb;466(2):258-63.
- Sharma H, De Leeuw J, Rowley DI. Girdlestone resection arthroplasty following failed surgical procedures. Int Orthop. 2005 Apr;29(2):92-5.