El resultado clínico después de la conversión de la resección artroplastia de Girdlestone a reemplazo total de cadera / Clinical outcome following conversion of Girdlestone’s resection arthroplasty to total hip replacement

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Bone Joint J. 2014 Nov;96-B(11):1478-84. doi: 10.1302/0301-620X.96B11.33889.

Clinical outcome following conversion of Girdlestone’s resection arthroplasty to total hip replacement: a retrospective matched case-control study.



A total of 31 patients, (20 women, 11 men; mean age 62.5 years old; 23 to 81), who underwent conversion of a Girdlestone resection-arthroplasty (RA) to a total hip replacement (THR) were compared with 93 patients, (60 women, 33 men; mean age 63.4 years old; 20 to 89), who had revision THR surgery for aseptic loosening in a retrospective matched case-control study. Age, gender and the extent of the pre-operative bone defect were similar in all patients. Mean follow-up was 9.3 years (5 to 18).
Pre-operative function and range of movement were better in the control group (p = 0.01 and 0.003, respectively) and pre-operative leg length discrepancy (LLD) was greater in the RA group (p < 0.001). The post-operative clinical outcome was similar in both groups except for mean post-operative LLD, which was greater in the study group (p = 0.003). There was a significant interaction effect for LLD in the study group (p < 0.001). A two-way analysis of variance showed that clinical outcome depended on patient age (patients older than 70 years old had worse pre-operative pain, p = 0.017) or bone defect (patients with a large acetabular bone defect had higher LLD, p = 0.006, worse post-operative function p = 0.009 and range of movement, p = 0.005), irrespective of the group.
Despite major acetabular and femoral bone defects requiring complex surgical reconstruction techniques, THR after RA shows a clinical outcome similar to those obtained in aseptic revision surgery for hips with similar sized bone defects.
Cite this article: Bone Joint J 2014;96-B:1478–84.


  • No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
    This article was primary edited by D. Johnstone and first proof edited by G. Scott.
  • Received January 30, 2014.
  • Accepted July 17, 2014.
  • ©2014 The British Editorial Society of Bone & Joint Surgery


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