Summary
Conclusions on results after resection arthroplasty were made by analyzing patient records with regard to completed questionnaires. Sixty-four patients were followed up for 2.1–15.9 years post-operatively. The indications for explantation were septic or aseptic loosening with extensive bony destruction. The average age of the patients was 69.7 years. A specially prepared questionnaire summarized each patient's condition at that time. Twenty-five patients had no discomfort in the operated hip; 25 others reported occassional mild pain during increased strain, and six patients complained of constant pain. All patients were able to walk with aids. In six cases the infection recurred. In summary, we can say that the goal of maintaining an infection- and pain-free hip was achieved in over 90% of cases, but the functional weight-bearing capacity was limited. Resection arthroplasty appears to be a successful treatment; it relieves the patients from pain and infection and can often end a long series of surgical operations.
Similar content being viewed by others
References
Ahlgren SA, Gudmundsson G, Bartholdsson E (1980) Function after removal of a total hip prosthesis. Acta Orthop Scand 51: 541–545
Bourne RB, Hunter GA, Rorabeck CH, McNab JJ (1984) A six-year follow-up of infected total hip replacements managed by Girdlestone's arthroplasty. J Bone Joint Surg [Br] 66: 340–343
Buchholz HW, Gartman H-D (1972) Infektionsprophylaxe und operative Behandlung der schleichenden tiefen Infektion bei der totalen Endoprothese. Chirurg 43: 446–453
Canner GC, Steinberg ME, Heppenstall RB, Balderston R (1984) The infected hip after total hip arthroplasty. J Bone Joint Surg [Am] 66: 1393–1399
Clegg J (1977) The results of the pseudarthrosis after removal of an infected total hip prosthesis. J Bone Joint Surg [Br] 59: 298–301
Dürr (1977) Die Sanierung der infizierten TEP-Hüfte. Bericht über die Unfallmedizinische Tagung in Kempten am 24./25. September. 31: 111–118
Hackenbruch W (1979) The rapie der Prothesenlockerung. Schweiz Rundsch Med Prax 68: 1283–1286
Holz U (1980) Chirurgische Auswege nach dem künstlichen Gelenkersatz. Therapiewoche 30: 6487–6496
Hunter GA (1979) The results of reinsertion of a total hip prothesis after sepsis. J Bone Joint Surg [Br] 61: 422–423
Konermann H (1983) Endoprothetik des Hüftgelenks: Reoperationen und deren Ergebnisse. Therapiewoche 33: 475–482
Nelson CL, Evarts CM, Andrish J, Marks K (1980) Results of infected total hip replacement arthroplasty. Clin Orthop Rel Res 147: 258–261
Parr PL, Croft C, Enneking WP (1971) Resection of the head and neck of the femur with and without angulation osteotomy. J Bone Joint Surg [Am] 53A: 935–944
Petty W, Goldsmith S (1980) Resection arthroplasty following infected total hip arthroplasty. J Bone Joint Surg [Am] 62: 889–896
Refior HJ (1977) Endergebnisse nach Ausbau von Totalendoprothesen unter besonderer Berücksichtigung der Girdlestone-Hüfte. Bericht über die Unfallmedizinische Tagung in Kempten am 24./25. September. 31: 119–124
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Herzog, T., Link, W., Engel, S. et al. Resection arthroplasty: Middle- and long-term results. Arch Orthop Trauma Surg 108, 279–281 (1989). https://doi.org/10.1007/BF00932314
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00932314