Bourne R B, Hunter G A, Rorabeck C H, Macnab J J
J Bone Joint Surg Br. 1984 May;66(3):340-3. doi: 10.1302/0301-620X.66B3.6725342.
Thirty-three Girdlestone's arthroplasties used to salvage infected total hip replacements were followed for a mean of 6.2 years to assess the efficacy of this procedure. Subjective and objective assessment was obtained at the time of review. Gram-negative organisms, retained cement, bony sequestra and secondary healing were common features of the five patients (15%) whose wounds discharged for more than four weeks after operation. Girdlestone's arthroplasty provided satisfactory pain relief in 91% of patients, and control of infection in 97%. Although leg-length discrepancy (mean 4 cm) and a Trendelenburg gait made walking difficult and tiring , 42% were satisfied with their functional ability; 85% needed walking aids, and 3 patients could not walk at all and were confined to bed or a chair. Overall, 79% were satisfied. Objectively, the mean Harris hip rating was 60; however, if patients with multiple joint problems were excluded, this score increased to 77. Girdlestone's arthroplasty seems a reasonable salvage procedure in the management of an infected total hip replacement and the results seem to improve with time.
对33例用于挽救感染性全髋关节置换术的Girdlestone关节成形术进行了平均6.2年的随访，以评估该手术的疗效。在复查时进行了主观和客观评估。革兰氏阴性菌、残留骨水泥、骨死骨和二期愈合是术后伤口引流超过四周的5例患者（15%）的常见特征。Girdlestone关节成形术使91%的患者疼痛得到满意缓解，97%的患者感染得到控制。尽管肢体长度差异（平均4cm）和Trendelenburg步态使行走困难且疲劳，但42%的患者对其功能能力感到满意；85%的患者需要助行器，3例患者完全无法行走，只能卧床或坐轮椅。总体而言，79%的患者感到满意。客观上，Harris髋关节平均评分为60分；然而，如果排除多关节问题的患者，该评分可提高到77分。Girdlestone关节成形术似乎是处理感染性全髋关节置换术的一种合理的挽救手术，而且随着时间推移结果似乎有所改善。
