Fenelon G C, Von Foerster G, Engelbrecht E
J Bone Joint Surg Br. 1980 Nov;62-B(4):441-6. doi: 10.1302/0301-620X.62B4.7430220.
Eleven patients underwent disarticulation for infected arthroplasty of the hip. Exchange total hip arthroplasty or conversion to a Girdlestone excision arthroplasty had been undertaken previously an average of 2.9 times. The indications for disarticulation were as a life-saving measure, or as a result of severe infection of soft tissue and bone, loss of bone stock, or vascular injury. While the indications for this drastic operation were highly individual, there were instances where disarticulation could have been avoided if repeated exchange operations had been eschewed in deference to a Girdlestone procedure.
11例患者因髋关节感染性置换术接受了关节离断术。此前平均进行了2.9次全髋关节翻修置换术或改行Girdlestone切除关节成形术。关节离断术的指征为挽救生命的措施，或因软组织和骨的严重感染、骨量丢失或血管损伤。虽然这种激进手术的指征因人而异，但在某些情况下，如果避免反复进行翻修手术而采用Girdlestone手术，本可避免关节离断术。
