Girdlestone resection arthroplasty following failed surgical procedures

H. Sharma, J. De Leeuw, David Rowley

    Research output: Contribution to journalArticle

    35 Citations (Scopus)

    Abstract

    We retrospectively reviewed 43 patients who had undergone Girdlestone resection arthroplasty of the hip after failed total hip replacement or failed operations for hip trauma between 1990 and 2002. The indications were peri-prosthetic infection, aseptic loosening, recurrent dislocation and failed internal fixation for femoral neck fractures. Twenty-five patients died with an overall mortality of 58%. Out of 18 survivors, four patients had a prosthesis re-implanted and were excluded from the study. In 14 surviving patients followed-up for a mean of 44.5 months, the average age was 76 years. Adequate pain relief was achieved in 12 patients and infection was controlled in all. They all needed walking aids. The overall patient satisfaction was 10/14. We observed that patients who had had resection arthroplasty following failed operations for hip trauma had a higher mortality than those for failed total hip arthroplasty. Girdlestone arthroplasty is still a viable option to salvage irretrievably failed hips presenting technical difficulties in medically compromised patients. Limb shortening and the inevitable need for a walking aid should be clearly explained to patients during the consenting process in order to avoid unrealistic expectations.
    Original languageEnglish
    Pages (from-to)92-95
    Number of pages4
    JournalInternational Orthopaedics
    Volume29
    Issue number2
    DOIs
    Publication statusPublished - 2005

    Fingerprint

    Arthroplasty
    Hip
    Walking
    Femoral Neck Fractures
    Hip Replacement Arthroplasties
    Mortality
    Wounds and Injuries
    Infection
    Patient Satisfaction
    Prostheses and Implants
    Survivors
    Extremities
    Pain

    Cite this

    Sharma, H. ; De Leeuw, J. ; Rowley, David. / Girdlestone resection arthroplasty following failed surgical procedures. In: International Orthopaedics. 2005 ; Vol. 29, No. 2. pp. 92-95.
    @article{d0dd85d8241a4cd2bfd43bff82609e27,
    title = "Girdlestone resection arthroplasty following failed surgical procedures",
    abstract = "We retrospectively reviewed 43 patients who had undergone Girdlestone resection arthroplasty of the hip after failed total hip replacement or failed operations for hip trauma between 1990 and 2002. The indications were peri-prosthetic infection, aseptic loosening, recurrent dislocation and failed internal fixation for femoral neck fractures. Twenty-five patients died with an overall mortality of 58{\%}. Out of 18 survivors, four patients had a prosthesis re-implanted and were excluded from the study. In 14 surviving patients followed-up for a mean of 44.5 months, the average age was 76 years. Adequate pain relief was achieved in 12 patients and infection was controlled in all. They all needed walking aids. The overall patient satisfaction was 10/14. We observed that patients who had had resection arthroplasty following failed operations for hip trauma had a higher mortality than those for failed total hip arthroplasty. Girdlestone arthroplasty is still a viable option to salvage irretrievably failed hips presenting technical difficulties in medically compromised patients. Limb shortening and the inevitable need for a walking aid should be clearly explained to patients during the consenting process in order to avoid unrealistic expectations.",
    author = "H. Sharma and {De Leeuw}, J. and David Rowley",
    note = "dc.publisher: Springer Verlag The original publication is available at www.springerlink.com",
    year = "2005",
    doi = "10.1007/s00264-004-0633-3",
    language = "English",
    volume = "29",
    pages = "92--95",
    journal = "International Orthopaedics",
    issn = "0341-2695",
    publisher = "Springer Verlag",
    number = "2",

    }

    Girdlestone resection arthroplasty following failed surgical procedures. / Sharma, H.; De Leeuw, J.; Rowley, David.

    In: International Orthopaedics, Vol. 29, No. 2, 2005, p. 92-95.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Girdlestone resection arthroplasty following failed surgical procedures

    AU - Sharma, H.

    AU - De Leeuw, J.

    AU - Rowley, David

    N1 - dc.publisher: Springer Verlag The original publication is available at www.springerlink.com

    PY - 2005

    Y1 - 2005

    N2 - We retrospectively reviewed 43 patients who had undergone Girdlestone resection arthroplasty of the hip after failed total hip replacement or failed operations for hip trauma between 1990 and 2002. The indications were peri-prosthetic infection, aseptic loosening, recurrent dislocation and failed internal fixation for femoral neck fractures. Twenty-five patients died with an overall mortality of 58%. Out of 18 survivors, four patients had a prosthesis re-implanted and were excluded from the study. In 14 surviving patients followed-up for a mean of 44.5 months, the average age was 76 years. Adequate pain relief was achieved in 12 patients and infection was controlled in all. They all needed walking aids. The overall patient satisfaction was 10/14. We observed that patients who had had resection arthroplasty following failed operations for hip trauma had a higher mortality than those for failed total hip arthroplasty. Girdlestone arthroplasty is still a viable option to salvage irretrievably failed hips presenting technical difficulties in medically compromised patients. Limb shortening and the inevitable need for a walking aid should be clearly explained to patients during the consenting process in order to avoid unrealistic expectations.

    AB - We retrospectively reviewed 43 patients who had undergone Girdlestone resection arthroplasty of the hip after failed total hip replacement or failed operations for hip trauma between 1990 and 2002. The indications were peri-prosthetic infection, aseptic loosening, recurrent dislocation and failed internal fixation for femoral neck fractures. Twenty-five patients died with an overall mortality of 58%. Out of 18 survivors, four patients had a prosthesis re-implanted and were excluded from the study. In 14 surviving patients followed-up for a mean of 44.5 months, the average age was 76 years. Adequate pain relief was achieved in 12 patients and infection was controlled in all. They all needed walking aids. The overall patient satisfaction was 10/14. We observed that patients who had had resection arthroplasty following failed operations for hip trauma had a higher mortality than those for failed total hip arthroplasty. Girdlestone arthroplasty is still a viable option to salvage irretrievably failed hips presenting technical difficulties in medically compromised patients. Limb shortening and the inevitable need for a walking aid should be clearly explained to patients during the consenting process in order to avoid unrealistic expectations.

    U2 - 10.1007/s00264-004-0633-3

    DO - 10.1007/s00264-004-0633-3

    M3 - Article

    VL - 29

    SP - 92

    EP - 95

    JO - International Orthopaedics

    JF - International Orthopaedics

    SN - 0341-2695

    IS - 2

    ER -