Girdlestone procedure

Dr Dan J Bell and Dr James Sheldon et al.

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.

Indications 
  • 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 Robert Girdlestone (1881-1950) in 1928, was initially developed as a lifesaving measure to remove disease and devitalised tuberculous hips in the pre-antibiotic era 2.

Share article

Article information

rID: 25401
Section: Signs
Synonyms or Alternate Spellings:
  • Femoral Head Ostectomy
  • Girdlestone Resection Arthroplasty
  • Girdlestone's procedure

Support Radiopaedia and see fewer ads

Cases and figures

  • Drag
    Case 1
    Drag here to reorder.
  • Updating… Please wait.
    Loadinganimation

    Alert accept

    Error Unable to process the form. Check for errors and try again.

    Alert accept Thank you for updating your details.