Girdlestone resection arthroplasty following failed surgical procedures

The many surgical procedures summarized in previous chapters allow successful management of most shoulder conditions and result in improved pain, motion, and function. However, salvage procedures that sacrifice the glenohumeral joint or the scapulothoracic joint represent the best surgical option for a few patients. These salvage procedures are uncommon, but shoulder surgeons need to be familiar with their indications, surgical technique, and reported outcomes. This chapter addresses glenohumeral arthrodesis, scapulothoracic arthrodesis, and glenohumeral resection arthroplasty.

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Socioeconomic Status Is Associated With the Risk of Girdlestone Resection Arthroplasty After Periprosthetic Infection of the Hip

Journal of the American Academy of Orthopaedic Surgeons ◽

10.5435/jaaos-d-20-00686 ◽

2020 ◽

Vol Publish Ahead of Print ◽

Author(s):

Gregory J. Kirchner ◽

Alexander M. Lieber ◽

Raymond Y. Kim ◽

Yehuda E. Kerbel ◽

Vincent M. Moretti ◽

...

Keyword(s):

Socioeconomic Status ◽

Periprosthetic Infection ◽

Resection Arthroplasty ◽

Girdlestone Resection Arthroplasty

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Girdlestone resection arthroplasty of the hip: Current perspectives

Current Orthopaedics ◽

10.1016/j.cuor.2005.06.005 ◽

2005 ◽

Vol 19 (5) ◽

pp. 385-392 ◽

Cited By ~ 9

Author(s):

H. Sharma ◽

C.R. Dreghorn ◽

E.R. Gardner

Keyword(s):

Resection Arthroplasty ◽

Girdlestone Resection Arthroplasty

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Girdlestone resection arthroplasty

Hip Preservation Techniques ◽

10.1201/9780429020407-22 ◽

2019 ◽

pp. 141-142

Author(s):

K. Mohan Iyer

Keyword(s):

Resection Arthroplasty ◽

Girdlestone Resection Arthroplasty

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A Devasting Course of an Iliopsoas Muscle Abscess Subsequently Leading to Septic Shock, Septic Hip Arthritis, and Extended Gluteal Soft Tissue Necroses in an Elderly Immunocompromised Patient with Multiple Carcinomas: A Case Report and Brief Review of Literature

The Open Orthopaedics Journal ◽

10.2174/1874325001812010180 ◽

2018 ◽

Vol 12 (1) ◽

pp. 180-189 ◽

Cited By ~ 1

Author(s):

Ingo Schmidt

Keyword(s):

Septic Shock ◽

Soft Tissue ◽

Hip Joint ◽

Daily Living ◽

Resection Arthroplasty ◽

Iliopsoas Muscle ◽

Deep Soft Tissue ◽

Hip Arthritis ◽

Post Infectious ◽

Girdlestone Resection Arthroplasty

Background: A devasting course of Iliopsoas Muscle (IPM) abscess remains a challenging therapeutic problem. Methods: A 69-year-old polymorbid male had a history of multiple carcinomas and presented with advanced stage of septic shock due to a right IPM abscess which communicated with the right hip joint and subsequently led to septic hip arthritis accompanied with post-infectious right gluteal deep soft tissue necroses. Management of surgical treatment included abscess revision, coverage with the use of Long Head Biceps Femoris Muscle (LHBFM) 180° turnover flap, and creating a Girdlestone resection-arthroplasty. Results: After a duration of patient's hospitalization of six months that included the necessity of artificial respiration over two months accompanied with in summary 18 required surgical procedures, the patient could be recovered successfully regarding his polymorbidity and his low-demand claims in activities of daily living with his Girdlestone resection-arthroplasty. Conclusion: Recovery of immunocompromised patients with those life-threatening situations can only be achieved by an interdisciplinary management. The LHBFM 180° turnover flap can be useful for filling off post-infectious deep soft tissue cavities communicating with the hip joint. The definitive Girdlestone resection-arthroplasty for treatment of septic hip arthritis is the method of choice for mobilization of elderly polymorbid patients with low demand claims in their activities of daily living.

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Complication, Survival, and Reoperation Rates Following Girdlestone Resection Arthroplasty

The Journal of Arthroplasty ◽

10.1016/j.arth.2015.02.011 ◽

2015 ◽

Vol 30 (7) ◽

pp. 1183-1186 ◽

Cited By ~ 15

Author(s):

Tennison L. Malcolm ◽

Bishoy V. Gad ◽

Karim A. Elsharkawy ◽

Carlos A. Higuera

Keyword(s):

Resection Arthroplasty ◽

Reoperation Rates ◽

Girdlestone Resection Arthroplasty

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Quality of life and health status after Girdlestone resection arthroplasty in patients with an infected total hip prosthesis

Journal of Bone and Joint Infection ◽

10.7150/jbji.28390 ◽

2019 ◽

Vol 4 (1) ◽

pp. 10-15 ◽

Cited By ~ 4

Author(s):

Cornelis M. Vincenten ◽

Brenda L. Den ◽

Pieter K. Bos ◽

Stefan B.T. Bolder ◽

Taco Gosens

Keyword(s):

Quality Of Life ◽

Myocardial Infarction ◽

Lower Limb ◽

Normative Data ◽

Hip Prosthesis ◽

Resection Arthroplasty ◽

Limb Amputation ◽

Total Hip Prosthesis ◽

Girdlestone Resection Arthroplasty

Abstract. Introduction: The Girdlestone resection arthroplasty (GRA) is a salvage procedure for a recurrent or persistent prosthetic joint infection of the hip. This procedure negatively impacts the functional outcome and presumably also diminishes health status (HS) and quality of life (QOL). However, studies investigating the QOL after GRA are lacking. This cross-sectional study compares patients with a Girdlestone situation after an infected total hip prosthesis with a normative population with regard to HS and QOL.Methods: Patients with a permanent GRA were suitable to be enrolled in the study. Subjects completed the World Health Organization Quality of life (WHOQOL-BREF) and the EuroQol 5 dimension 3 level version (EQ-5D-3L). Scores were compared with data from the normal population, from patients with a lower limb amputations and data from patients with a myocardial infarction.Results: Sixty-three patients who underwent GRA between January 2000 and March 2017 completed the questionnaire. The median time between the GRA and competing the questionnaire was 48 months (4 -436). All WHOQOL-BREF domain scores were significantly lower in GRA patients compared to the normative data (p<0.001), patients with myocardial infarction or lower limb amputation. EQ-5D-3L results showed that HS was significantly impaired in GRA patients when compared to normative data (p<0.001) and also impaired when compared to data from lower limb amputations and myocardial infarctions.Conclusion: HS and QOL scores in patients with a permanent Girdlestone situation after an infected hip prosthesis are significantly lower than Dutch normative scores. Patients with a permanent Girdlestone situation scored even lower on HS than patients with a lower limb amputation or a myocardial infarction.

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