The Girdlestone procedure (also known as a femoral head ostectomy or Girdlestone resection arthroplasty) is an excision arthroplasty of the hip. The procedure inevitably results in limb shortening.
- peri-prosthetic infection
- aseptic loosening
- recurrent dislocation
- failed internal fixation of femoral neck fractures 1
History and etymology
The procedure, as developed by British surgeon Gathorne Girdlestone in 1928, was initially developed as a lifesaving measure to remove disease and devitalised tuberculous hips in the pre-antibiotic era 2.
- 1. Sharma H, De Leeuw J, Rowley DI. Girdlestone resection arthroplasty following failed surgical procedures. Int Orthop. 2005;29 (2): 92-5. doi:10.1007/s00264-004-0633-3 - Free text at pubmed - Pubmed citation
- 2. Girdlestone GR. Acute pyogenic arthritis of the hip: an operation giving free access and effective drainage. 1943. Clin. Orthop. Relat. Res. 2008;466 (2): 258-63. doi:10.1007/s11999-007-0082-6 - Free text at pubmed - Pubmed citation