Castellanos J, Flores X, Llusà M, Chiriboga C, Navarro A
Department of Orthopaedic Surgery and Traumatology, Rehabilitation and Traumatology University Hospital, Vall d'Hebron, Barcelona, Spain.
Int Orthop. 1998;22(3):178-81. doi: 10.1007/s002640050236.
The results of 78 resections of the head and neck of the femur (Girdlestone pseudarthrosis) in patients with infected hip replacements were studied. The mean follow-up was 5 years. At the time of the resection, gram-positive organisms were found in 53% of the cases, gram-negative in 33%, and in 12% there were mixed flora. The Girdlestone pseudarthrosis controlled the infection in 86% and achieved satisfactory relief of pain in 83%. The mean shortening of the limb was 4.1 cm and every patient needed some type of external walking aid. We found no correlation between the type of organisms and the persistence of infection, nor between shortening and the functional results. The Girdlestone pseudarthrosis is an acceptable method of controlling infection and relieving pain after infection of a total hip replacement.
我们研究了78例感染性髋关节置换患者的股骨头颈切除术（Girdlestone假关节形成术）的结果。平均随访时间为5年。在切除时，53%的病例中发现革兰氏阳性菌，33%为革兰氏阴性菌，12%为混合菌群。Girdlestone假关节形成术控制了86%的感染，并使83%的患者疼痛得到满意缓解。肢体平均缩短4.1厘米，每位患者都需要某种类型的外部助行器。我们发现细菌类型与感染持续存在之间、缩短程度与功能结果之间均无相关性。Girdlestone假关节形成术是控制全髋关节置换感染后感染和缓解疼痛的一种可接受的方法。
