Girdlestone Resection Arthroplasty
Original Editor - Kirsten Coutts
Top Contributors - Kirsten Coutts and Lucinda hampton
History[edit | edit source]
This surgical procedure was first described by an English Orthopaedic surgeon, Gathorne Robert Girdlestone in 1928. The procedure has been known by his name ever since. It was first used for chronic septic arthritis of the hip, mostly arising from Tuberculosis. As there was not yet good access to antibiotics and arthroplasty, this procedure was used to resect the femoral head, to relieve the pain and source of infection. [1][2]
Description[edit | edit source]
The method and techniques used in this surgery have evolved over time.
The first documented surgery of this kind, in 1928, involved radical excision to drain the prolonged septic hip. A transverse incision of 5-6 inches (12-15cm) long with its centre near the greater trochanter is made, which exposes the gluteal muscles and fascia. All deep tissues, including greater trochanter and the gluteal muscles were removed
Once the femoral head has been resected, the clinical situation that remains is referred to as the 'Girdlestone situation'.
Also referred to as : Hip resection arthroplasty, Girdlestone procedure, Girdlestone excision arthroplasty of Hip and Femoral head ostectomy.
Indication
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Clinical Presentation[edit | edit source]
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Diagnostic Tests[edit | edit source]
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Pre-Op[edit | edit source]
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Post-Op[edit | edit source]
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Resources
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References[edit | edit source]
- ↑ Vincenten CM, Gosens T, van Susante JC, Somford MP. The Girdlestone situation: a historical essay. Journal of Bone and Joint Infection 2019;4:203-208
- ↑ Than J, Jiganti M, Tedesco N. Simultaneous primary bilateral hip resection arthroplasty . Arthroplasty Today 2021;12:24-28
