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. 2015 Dec;6(4):269-72.
doi: 10.1016/j.jcot.2015.03.005. Epub 2015 Apr 23.

Successful salvage of an unstable Girdlestone's excision arthroplasty with a megaprosthesis of the hip

Raju Vaishya  1 , Vipul Vijay  2 , Abhishek Vaish  3
Affiliations

Successful salvage of an unstable Girdlestone's excision arthroplasty with a megaprosthesis of the hip

Raju Vaishya et al. J Clin Orthop Trauma. 2015 Dec.

Abstract

The functional results after a Girdlestone's excision arthroplasty of the hip are unpredictable with high patient dissatisfaction and complication rates. We report such a case of symptomatic patient, which was managed successfully with a megaprosthesis of the hip with constrained acetabular liner. The use of megaprosthesis for a failed and symptomatic Girdlestone's excision arthroplasty of the hip has not been reported before.

Keywords: Excision arthroplasty; Hip; Instability; Revision; Total hip replacement (THR).

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Figures

Fig. 1
Fig. 1
Typical kyphotic deformity of ankylosing spondylitis of the spine.
Fig. 2
Fig. 2
Internal rotation deformity on left lower limb with failed Girdlestone's excision arthroplasty of the hip.
Fig. 3
Fig. 3
AP radiograph of the pelvis, showing typical changes of ankylosing spondylitis with excision arthroplasty of the left hip.
Fig. 4
Fig. 4
3-D CT reconstruction image of the pelvis showing excision arthroplasty of the left hip with gross deficiency in the acetabulum and proximal femur.
Fig. 5
Fig. 5
Post op radiograph of the left hip showing megaprosthetic replacement.
See this image and copyright information in PMC

References

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