Abstract
Despite considerable legacy issues, Girdlestone’s resection arthroplasty (GRA) remains a valuable tool in the armoury of the arthroplasty surgeon. When reserved for massive lysis in the context of extensive medical co-morbidities which preclude staged or significant surgical interventions, and/or the presence of pelvic discontinuity, GRA as a salvage procedure can have satisfactory outcomes. These outcomes include infection control, pain control and post-op function. We describe a case series of 13 cases of GRA and comment of the indications, peri, and post-operative outcomes.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Girdlestone G (1928) Arthrodesis and other operations for tuberculosis of the hip. In: Milford H (ed) The Robert Jones birthday volume. Oxford University Press, London, pp 347–374
Girdlestone G (1943) Acute pyogenic arthritis of the hip: an operation giving free access and effective drainage. Lancet 241:419–421
Ethgen O, Bruyère O, Richy F, Dardennes C, Reginster JY (2004) Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Jt Surg Am. 86:963–974
Daigle ME, Weinstein AM, Katz JN, Losina E (2012) The cost-effectiveness of total joint arthroplasty: a systematic review of published literature. Best Pract Res Clin Rheumatol 26:649–658
Matthews PC, Berendt A, McNally MA, Byren I (2009) Diagnosis and management of prosthetic joint infection. BMJ 29:338
Leonard HA, Liddle AD, Burke O, Murray DW, Pandit H (2014) Single-or two-stage revision for infected total hip arthroplasty? A systematic review of the literature. Clin Orthop Relat Res 472:1036–1042
Basu I (2011) Girdlestones excision arthroplasty: current update. Int J Surg 9:310–313
Cordero-Ampuero GP (2012) Girdlestone Procedure: when and why. HIP Int 22:36–39
Sharma H, Dreghorn CR, Gardner ER (2005) Girdlestone resection arthroplasty of the hip: current perspectives. Curr Orthop 19(5):385–392
Sharma H, De Leeuw J, Rowley DI (2005) Girdlestone resection arthroplasty following failed surgical procedures. Int Orthop 29:92–95
Zamora-Navas P, Estades-Rubio FJ (2021) Quality of life after girdlestone resection arthroplasty. Rev Esp Cir Ortop Traumatol (Engl Ed) 65:24–30
Oheim R, Gille J, Schoop R, Mägerlein S, Grimme CH, Jürgens C, Gerlach UJ (2012) Surgical therapy of hip-joint empyema. Is the Girdlestone arthroplasty still up to date? Int Orthop 36:927–933
http://www.njrcentre.org.uk/njrcentre/Reports-Publications-andMinutes/Annual-reports [cited 2022 August 31st].
Kurtz S, Ong K, Lau E, Mowat F, Halpern M (2007) Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Jt Surg Am 89:780–785
Curtis W, Marmor M (2018) Resection arthroplasty compared with total hip arthroplasty in treating chronic hip pain of patients with a history of substance abuse. J Arthroplasty 3:2560–2565
Bourne RB, Hunter GA, Rorabeck CH, Macnab JJ (1984) A six-year follow-up of infected total hip replacements managed by Girdlestone’s arthroplasty. J Bone Jt Surg Br 66:340–343
Esenwein SA, Robert K, Kollig E, Ambacher T, Kutscha-Lissberg F, Muhr G (2001) Long-term results after resection arthroplasty according to Girdlestone for treatment of persisting infections of the hip joint. Chirurg 72:1336–1343
Marchetti PG, Toni A, Baldini N, Binazzi R, D’Elia L, Sudanese A, Spinelli M (1987) Clinical evaluation of 104 hip resection arthroplasties after removal of a total hip prosthesis. J Arthroplasty 2:37–41
Steelman K, Bolz N, Fleming J, Vaidya R (2022) Hip resection arthroplasty for acute femoral neck fractures in the non-ambulator. OTA Int 3(1):167
Funding
No funding was received for this study.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Authors have no conflicts of interest.
Ethical approval
Ethical Review and Compliance: we have sought appropriate ethical review and clearance from relevant institutional review boards or ethics committees. We have complied with all applicable legal and ethical requirements and have disclosed any potential conflicts of interest.
Informed consent
We have obtained informed consent from all participants involved in our study, ensuring that they were fully aware of the nature, purpose, risks, and potential benefits of their participation. Confidentiality and privacy of participants’ personal information have been diligently protected throughout the research process.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Condell, R., Low, L., Kearns, S.R. et al. Girdlestone resection arthroplasty of the hip (GRA): a case series—outdated procedure or acceptable outcome?. Eur J Orthop Surg Traumatol 34, 1711–1715 (2024). https://doi.org/10.1007/s00590-023-03793-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00590-023-03793-7