2018, Number 1
Ortho-tips 2018; 14 (1)
Girdlestone’s arthroplasty as a functional, painless and effective option to the prosthetic failure of the hip
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ABSTRACTIntroduction: In spite of this being a procedure indicated as archaic, it is a useful option in all those patients who are not candidates for a revision arthroplasty. A total of 28 patients who are currently hanging hip in the outpatient department of the hip module of the Hospital de Especialidades Centro Médico Nacional de Occidente, will be evaluated. A descriptive observational study will be carried out. Using the modified Harris scale, the analog pain assessment (VAS) scale and the pelvic limb scan as evaluation methods. Objective: Analyze the indications for its realization as well as disseminate the surgical technique and postoperative care used for a better prognosis. Conclusion: Resection arthroplasty is an effective, painless and functional method as definitive treatment for prosthetic hip failure, especially in those patients with severe acetabular defects (pelvic discontinuity), periprosthetic infections, generally after multiple unsuccessful attempts to eradicate the infection, patients not candidates for reimplantation (anesthetic or surgical risk unacceptable, technical difficulties, rejection of the patient). Showing a satisfaction of 78% (result of regular to excellent, according to modified Harris scale). The use of a postsurgical skin traction boot, for a period of eight weeks, is an important factor for the success of the procedure. As well as the resumption of ambulation after 8 weeks, accompanied by rehabilitation.