{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T15:24:37Z","timestamp":1789399477928,"version":"build-2803163510"},"reference-count":11,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2022,10,2]],"date-time":"2022-10-02T00:00:00Z","timestamp":1664668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Joint infections or the complications of hip surgery may necessitate a Girdlestone resection arthroplasty. This is often kept as a last resort for patients with significant co-morbidities or when other treatments have been ineffective. The aim of this study was to define the outcome after Girdlestone excision arthroplasty when undertaken as a primary or secondary procedure for a hip fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods:<\/jats:title>\n                    <jats:p>This is a retrospective review of a prospectively collected database involving 36 patients who underwent a Girdlestone procedure over a 30-year period. It compares the outcome for the 19 patients who survived to 1\u2009year with those of 38 matched hip fracture patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Pain persisted in most patients after the procedure and was universal in those patients who could walk. Most patients experienced a significant loss of independence and a reduction in mobility status: 12\/19 (63.1%) of those who survived to 1\u2009year were immobile and of the remainder, all needed a Zimmer frame to walk. Overall, 41.7% of patients had died within 1\u2009year of undergoing the procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study concludes that Girdlestone resection arthroplasty after a hip fracture is associated with a high degree of morbidity and mortality and therefore, should only be used as a salvage procedure after all other surgical measures have been exhausted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11207000221126135","type":"journal-article","created":{"date-parts":[[2022,10,3]],"date-time":"2022-10-03T02:48:51Z","timestamp":1664765331000},"page":"948-951","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["What is the outcome after a Girdlestone resection arthroplasty following a hip fracture?"],"prefix":"10.1177","volume":"33","author":[{"given":"Nikki","family":"Shah","sequence":"first","affiliation":[{"name":"Trauma and Orthopaedic Surgery Department, Peterborough City Hospital, Peterborough, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martyn J","family":"Parker","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedic Surgery Department, Peterborough City Hospital, Peterborough, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,10,2]]},"reference":[{"key":"bibr1-11207000221126135","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1007\/s11999-007-0082-6","volume":"466","author":"Girdlestone GR","year":"2008","journal-title":"Clin Orthop Relat Res"},{"key":"bibr2-11207000221126135","doi-asserted-by":"publisher","DOI":"10.7150\/jbji.36618"},{"key":"bibr3-11207000221126135","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.75B5.8376443"},{"key":"bibr4-11207000221126135","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.54B1.61"},{"key":"bibr5-11207000221126135","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-004-0633-3"},{"key":"bibr6-11207000221126135","first-page":"555","volume":"72","author":"Sharma H","year":"2006","journal-title":"Acta Orthop Belg"},{"key":"bibr7-11207000221126135","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198971050-00005"},{"key":"bibr8-11207000221126135","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2011.01.012"},{"key":"bibr9-11207000221126135","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(05)80073-7"},{"key":"bibr10-11207000221126135","doi-asserted-by":"publisher","DOI":"10.1007\/s002640050236"},{"key":"bibr11-11207000221126135","doi-asserted-by":"publisher","DOI":"10.1016\/j.cuor.2005.06.005"}],"container-title":["HIP International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11207000221126135","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11207000221126135","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11207000221126135","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:22:33Z","timestamp":1777450953000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11207000221126135"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,2]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1177\/11207000221126135"],"URL":"https:\/\/doi.org\/10.1177\/11207000221126135","relation":{},"ISSN":["1120-7000","1724-6067"],"issn-type":[{"value":"1120-7000","type":"print"},{"value":"1724-6067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,2]]}}}