Girdlestone procedure

Last revised by Arlene Campos on 12 Jan 2024

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 Robert Girdlestone (1881-1950) 3 in 1928, was initially developed as a lifesaving measure to remove disease and devitalised tuberculous hips in the preantibiotic era 2.

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