Transfixation with Kirschner wires leads to very good clinical, functional and radiologic results with a low complication rate. Furthermore the femoral head-neck junction retains enough plasticity for an active remodelling process.
Characteristics of the patients with complaints were increased intolerance of dental materials, higher rates of atopy, CMI, metal and gentamicin allergy and LTT reactivity.
Presenting these cases we come to the conclusion that even now a Girdlestone operation or an arthrodesis of the hip should be taken into account if reconstruction of acetabular defects is no more feasible. The long-term results are satisfactory.
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