Schröder J, Saris D, Besselaar P P, Marti R K
Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, The Netherlands.
Int Orthop. 1998;22(4):215-8. doi: 10.1007/s002640050245.
A Girdlestone pseudarthrosis of the hip (resection arthroplasty) is nowadays mainly carried out for failed hip replacements. A decision may have to be made whether to reimplant a new hip prosthesis or to accept the result of a pseudarthrosis. We followed 2 groups of patients: 32 patients had a long standing pseudarthrosis; in the other group of 16 patients, a total hip replacement was reimplanted at an average of 3 years after a pseudarthrosis. The improvement in hip function after the reimplantation was marginal and the results were comparable to a good functioning pseudarthrosis. However, personal satisfaction and the activities of daily living were better in the reimplantation group, and their Harris hip score was 64 compared to 58 in those with a pseudarthrosis. The Girdlestone procedure still seems to be a reasonable salvage operation for some complications following hip surgery, but when there are the correct indications, reimplantation of a total hip prosthesis is recommended.
目前，髋关节吉德斯顿假关节成形术（切除关节成形术）主要用于髋关节置换失败的情况。可能需要决定是重新植入新的髋关节假体还是接受假关节成形术的结果。我们对两组患者进行了随访：32例患者存在长期假关节；另一组16例患者在假关节形成后平均3年重新植入了全髋关节假体。重新植入后髋关节功能的改善微乎其微，结果与功能良好的假关节相当。然而，重新植入组患者的个人满意度和日常生活活动情况更好，其Harris髋关节评分是64分，而假关节组为58分。对于髋关节手术后的一些并发症，吉德斯顿手术似乎仍是一种合理的挽救手术，但在有正确指征时，建议重新植入全髋关节假体。
