Conversion to Total Hip Arhoroplasty after Girdlestone Operation
10.4055/jkoa.1996.31.3.512
- Author:
Sung Kwan HWANG
;
Yeu Seong YOON
;
Do Kyu KIM
- Publication Type:Original Article
- Keywords:
Total hip arhoroplasty;
Girdlestone operation
- MeSH:
Arthroplasty;
Arthroplasty, Replacement, Hip;
Canes;
Cicatrix;
Extremities;
Follow-Up Studies;
Gait;
Hemorrhage;
Hip;
Humans;
Leg;
Peroneal Nerve;
Range of Motion, Articular;
Recurrence;
Tuberculosis;
Walking
- From:The Journal of the Korean Orthopaedic Association
1996;31(3):512-518
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
From Mar. 1984 to Mar. 1994, we carried out 18 revision operations in patients who received Girdlestone operation due to the infection of hip was 7 cases, tuberculosis of hip was 3 cases, deep infections after implant insertion of hip were 5 cases, and pyogenic sequela was 1 case. The mean conversion period was 27 months. The leg length discrepancy, range of motion of hip, and Trendelenberg gait were examined before and after conversion to a total hip arthroplasty. The last functional state was evaluated and radiological examination was performed. In summary and Conclusion; 1. The time of performing revision hip arthroplasty was assessed by clinical, radiologic and laboratory finding, and the average time of conversion to total hip arthroplasty was 7.6 months after Girdlestone operation. 2. There was no case of recurrence of infection after revision operations. 3. At last follow-up after revision hip arthroplasty, the mean Harris Hip Score was 87.2(69.6–92.2) point. 4. Six patients had no pain, 8 patients had mild pain, and 2 patients had moderate pain. Nine patients were able to walk without ambulatory aids and 7 patients needed crutch or cane for walking. 5. At the time of revision hip arthroplasty, the average shortening of the resected limb was 4.2cm(1.6–7.3cm), and after revision operation, the average shortening was reduced to 1.2cm(0.8–2.2cm) 6. The technical difficulties, such as increased bleeding, bone deficiency, scar tissue formation, and limb shortening were encountered in all cases. 7. The peroneal nerve injury was developed in one patient who had conversion hip arthroplasty at 13 months after Girdlestone operation.
