Excision arthroplasty for infected total hip replacements.
A study of excision arthroplasty (Girdlestone's pseudarthrosis) for infected total hip replacements is presented. Twenty-two patients were reviewed with a minimum follow-up of one year. Reduction in pain was significant but the functional results were poor. Factors contributing to poor function were old age, poor medical condition and arthritis of the contralateral hip; these were in addition to the gross instability resulting from the pseudarthrosis. The patients were easily fatigued and dependent on external supports; calipers were found to be unacceptable. The symptoms after excision arthroplasty are compared with those before the original hip replacement.
D000368:Aged; D005260:Female; D006621:Hip Joint / Q000503:physiopathology; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013203:Staphylococcal Infections / Q000503:physiopathology / Q000601:surgery*; D013530:Surgical Wound Infection / Q000503:physiopathology / Q000601:surgery*; D013997:Time Factors; D014143:Traction; D014945:Wound Healing