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Adult Reconstruction
intermediate
X-Type

Girdlestone Procedure - Indications and Outcomes

Revision Hip Surgery

A 72-year-old man with multiple comorbidities including diabetes and chronic renal failure presents with a persistently infected left total hip replacement. He has failed two-stage revision surgery and cultures continue to grow methicillin-resistant Staphylococcus aureus despite appropriate antibiotic therapy. His mobility is severely limited and he is not a candidate for further revision surgery. Regarding the Girdlestone procedure (excision arthroplasty):

Mark each as TRUE or FALSE

A

The Girdlestone procedure (excision arthroplasty) involves resection of the femoral head and neck wi...

B

Indications for definitive Girdlestone include failed multiple revision attempts, resistant organism...

C

Girdlestone procedure provides excellent functional outcomes with most patients returning to indepen...

D

Expected outcomes include 70-80% infection eradication rate, 4-6cm leg length discrepancy, Trendelen...

E

Antibiotic-loaded articulating spacers are preferred for interim staging when reimplantation is plan...

Answer the questions to see explanations

Click T (True) or F (False) for each option