A Modified Girdlestone Operation in the Treatment of Complications of Fractures of the Femoral Neck

Zabihi, T.; Kohanim, M.; Amir-Jahed, A.K.

doi:10.2106/00004623-197355010-00013

Cited by 8 publications

(2 citation statements)

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“…The Girdlestone procedure is an excision arthroplasty of the hip, first described in 1945 by Gathone Girdlestone, for the management of tuberculosis and other hip disorders. It is an archaic procedure which has been superseded by total hip replacement and currently has few indications including treatment of infected hip arthroplasty particularly in those elderly patients who are deemed unfit for further revision [ 1 ]. The procedure involves resection of a portion of femoral head and neck to allow fusion of the proximal femur with the acetabulum [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Girdlestone procedure for avascular necrosis of the hip in an intravenous drug user

Maguire

Robertson

Henman

2014

Journal of Surgical Case Reports

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The Girdlestone procedure is an excision arthroplasty of the hip. Rarely used nowadays, it was required in a young patient following discovery of avascular necrosis of the femoral head as a result of septic emboli from infective endocarditis in an intravenous drug user. This procedure was deemed necessary based on poor cardiac function and anaesthetic risk. During this case report we will discuss investigations performed, the procedure and post-procedure course.

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Section: Introductionmentioning

confidence: 99%

Girdlestone procedure for avascular necrosis of the hip in an intravenous drug user

Maguire

Robertson

Henman

2014

Journal of Surgical Case Reports

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“…There are some published papers in literature that discuss the results of Girdlestone excision with or without pelvic support osteotomy following failed surgical procedures of the hip 4,5,6 . We report herein the functional results of resection angulation osteotomy in patients with post-septic ankylosis of the hip.…”

Section: Introductionmentioning

confidence: 99%

Resection Angulation Osteotomy in Treatment of Post-septic Ankylosis of the Hip

Nabi¹,

Rashid²,

Kk³

2008

MOJ

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This study evaluated the results of the resection angulation osteotomy in post-septic ankylosis of hip. We performed the procedure in 19 patients, with average age of 26 years (range, 21-32 years) and followed patients postoperatively for an average of 43 months (range 20-65 months). The osteotomy united in all patients with an average union time of 16 weeks (range 12-22 weeks). Average painless movement postoperatively was: flexion, 114 degrees; extension, 18 degrees; abduction, 35 degrees; adduction , 21 degrees; external rotation, 23 degrees; and internal rotation, 22 degrees. All the patients except one were able to sit crosslegged on the floor, offer prayers and use squat-type toilets. We conclude that this procedure is a good treatment option in patients with post-septic ankylosis of the hip, who need an alternative to more sophisticated procedures like total hip arthroplasty.

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