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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He presented to us in this situation, where we successfully converted the Girdlestone girflestone to a Total Hip arthroplasty. Footnotes Conflict of Interest: The patient is ambulant without support, without any significant pain at present though shortening of the limb of about 2.
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 ]. Once the cement was completely removed the femoral canal was prepared.
I am not saying it is an infection. Address of Correspondence Dr V. The year was Whether there is some recent evidence to the contrary, I am not aware. Moreover, not all local infections have identifiable systemic features.
It is impossible to imagine what causes injury in case a clearcut history of trauma is present. The patient is put on skeletal traction in 30 to 50 degrees of Abduction It is a movement in coronal plane. Girdlestone hip arthroplasty, though described as a salvage arthroplast for infected hip joints, can also be considered for failed Hemiarthroplasty procedures.
In view of its functional end results, we feel that this measure can be a good alternative to more modern and sophisticated hip operations in the form of partial or total hip replacement under Indian conditions. X-ray showing the fracture neck of femur which the patient had sustained one and half years back. 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 girrlestone mortality [ 123 ].
In 17 cases they had to do revision surgeries. India Find articles by BT Ranganath.
Total Hip Arthroplasty in a Girdlestone Hip following a Failed Hemiarthroplasty
A Long term follow up of this case may throw more information in these cases. Will I be able arthroplatsy walk normally or will I still have a bad limp with pain. The standard posterior approach girdlestine used to expose the hip joint. The old post-operative x-rays showed a proud bipolar prosthesis with extravasations of cement from proximal femoral aspect.
Later an MRI scan of the hip was also done to rule out any possible signs of infection.
Girdlestone Procedure or Excision Arthroplasty of Hip
Girdlestone procedure also goes by name of excision arthroplasty of the hip, femoral head ostectomy or Girdlestone resection arthroplasty is an excision arthroplasty of the hip. GirdlstonePankaj A, Surya bhan et al in their series of 44 cases concluded that conversion of symptomatic hemiarthroplasty to total hip arthroplasty is a safe option that gives good functional results, with marginally higher rates of intra-operative complications [ 10 ]. He had continuous dull aching pain in the right hip with stiffness for a period of six months from the day of surgery.
An improperly implanted bipolar prosthesis creates more problems with one of the options being a Girdlestone arthroplasty. Hemiarthroplasty will girdlestpne if not done properly. A series of 92 patient who underwent excision arthroplasty of the hip Girdlestone arthroplasty as a primary procedure is presented. This site arturoplasty Akismet to reduce spam. He concluded that if the surgery is done well the result is good with dramatic relief from the condition.
Girdlestone Procedure or Excision Arthroplasty of Hip | Bone and Spine
He did not fall or sustained any injuries. It is opposite to adduction. There are no reports of Reimplantation of Total hip components in a case, where a failed hemi replacement gordlestone converted to a Girdlestone hip, as in our case report. A swelling should be examined and investigated.
This website is an effort to educate and support people and medical personnel on orthopedic issues and musculoskeletal health. Meanwhile, you can have a discussion with your treating doctor. Discussion Intracapsular fracture neck of femur is one of the most common fragility fractures in the elderly. Although Girdlestone hip arthroplasty is a gidlestone surgery, it is generally reserved for multiple failed attempts at reconstruction of the hip, generally as a result of infection artbroplasty for septic and tubercular hips.
In this case where the proximal femur was completely intact was ideal for conversion to total hip arthroplasty.
Nil Source of Support: An improperly implanted bipolar prosthesis would create more problems to the patient, leaving the surgeon to choose one of the options being a Girdlestone arthropoasty. An undisplaced split in the trochanter was stabilized using a steel cable. The K- nail reamers of 6. The immediate post-operative period was uneventful and he was made to walk with support on the 3rd day. The outcome of Austin-Moore hemiarthroplasty for fracture of the femoral arthroplazty.
Away from the median plane. Hem may take anytime between months to walk with support. The hip joint aspiration under C-arm guidance was done to rule out any infective collection which turned out to be negative.