2014
DOI: 10.1093/jscr/rju039
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Girdlestone procedure for avascular necrosis of the hip in an intravenous drug user

Abstract: 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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Cited by 6 publications
(4 citation statements)
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“…In older patients with collapsed femoral heads and advanced degeneration, THA has been shown to be a reliable option with satisfactory outcomes [21][22][23][24][25]. Although indications are rare, HRA is also a viable option for femoral head osteonecrosis, especially in patients with high surgical and anesthetic risk factors [6,9,[26][27][28].…”
Section: Discussionmentioning
confidence: 99%
“…In older patients with collapsed femoral heads and advanced degeneration, THA has been shown to be a reliable option with satisfactory outcomes [21][22][23][24][25]. Although indications are rare, HRA is also a viable option for femoral head osteonecrosis, especially in patients with high surgical and anesthetic risk factors [6,9,[26][27][28].…”
Section: Discussionmentioning
confidence: 99%
“…– Ressecção artroplástica: assim como a artrodese e as osteotomias, é uma técnica menos utilizada atualmente, principalmente devido à alta taxa de sucesso da prótese total de quadril. 59…”
Section: Tratamentounclassified
“…– Arthroplastic resection: as well as arthrodesis and osteotomies, a technique less used nowadays, mainly due to the high success rate of total hip prosthesis. 59…”
Section: Treatmentmentioning
confidence: 99%
“…Endikasyonlar: Periprostetik kalça enfeksiyonları Aseptik gevşemesi olan TKA Rekürren kalça çıkığı Femur boyun kırığı nedeniyle yapılan tespitin başarısız olması ve Genç yaşta ileri derece kalça artrozu olan, osteonekroz olgularında tercih edilmelidir [43]. Cerrahi teknik: Posterior, anterior veya lateral yaklaşımla kalça açılımı sağlanıp varsa implantlar çıkarılır.…”
Section: Derman Tıbbi Yayıncılık 26unclassified