The Girdlestone procedure is a resection arthroplasty of the hip that involves removal of portions of the proximal femur. It is named after Gathorne Robert Girdlestone, who popularized the procedure for treatment of late septic arthritis.
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.
References
- 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.
This comment has been removed by the author.
ReplyDeleteI had a girdlestone operation three years ago, however, it is not fused and I have full movement. The leg is weight bearing and has no pain. The procedure followed several replacements and MRSA.I am now 75 years of age and had my first hip replacement at the age of 42. Both hips have now been modified.
ReplyDelete