Role of Girdlestone Operation in Treatment of Infectious Complications after Total Hip Arthroplasty

Abstract


During the period from 2001 through 2012 one hundred forty eight patients (mean age 49 years) underwent surgical intervention for periprosthetic pyo-inflammatory complications. Removal of joint implant was performed in terms from 1 month to 25 years after total hip replacement. In 105 (72.4%) patients Girdlestone operation was performed after primary and in 43 (27.6%) — after revision arthroplasty. Removal of joint implant, hip fistulosequestrnecrectomy and weight bearing neoarthrosis formation was performed. For neoarthrosis formation in acetabular dysplasia and vast resection of proximal femur an external fixation device was used. Good results were achieved in 68 (70.8%) patients: inflammatory process was arrested and weight bearing ability of the limb was restored. Satisfactory result was observed in 28 (29.2%) patients. In 15 (15.6%) out of them inflammatory process was cupped off but no adequate weight bearing neoarthrosis was formed. Girdlestone operation is the last possibility to restore the weight bearing ability of the limb and is used in patients in whom revision arthroplasty cannot be performed.

Full Text

Роль операции Гирдлестоуна в лечении инфекционных осложнений после эндопротезирования тазобедренного сустава

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