{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T20:19:58Z","timestamp":1770841198650,"version":"3.50.1"},"reference-count":20,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T00:00:00Z","timestamp":1519776000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/legalcode"}],"content-domain":{"domain":["openorthopaedicsjournal.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["TOORTHJ"],"published-print":{"date-parts":[[2018,2,28]]},"abstract":"<jats:sec><jats:title>Introduction:<\/jats:title><jats:p>Head and neck resection of the femur was described by Girdlestone in 1928 in the treatment of coxalgia. Very invasive at the beginning, this intervention is much less so today, but the term of \u201cGirdlestone\u2019s operation\u201d or \u201cGirdlestone\u2019s procedure\u201d has remained in use. The reported results are controversial. In resource-limited countries, Girdlestone\u2019s procedure is often indicated for lack of a better one. In this context, we report the results of a series of 24 patients operated in a regional hospital (Ouahigouya, Burkina Faso) with the aim of showing that this technique remains valid and can be benefit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>This was a retrospective descriptive study of 24 patients who had benefited from the procedure for cervical fracture sequelae, failure of arthroplasty or osteosynthesis, or osteonecrosis. All were operated by posterolateral approach, under spinal anesthesia and followed for 5 years with evaluation of the anatomical and functional results using the rating of Postel and Merle d'Aubign\u00e9 (PMA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>All patients had Trendelenburg lameness with a mean shortening of 3.5 cm. They were all autonomous with walking aids and the PMA score ranged from 16 to 14. Discussion: although the results obtained are not excellent, they are relatively good and have allowed all our patients to recover an acceptable autonomy, compatible with certain independence in everyday life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p>The Girdlestone\u2019s procedure cannot be a first intention indication, but retains a place in the therapeutic arsenal of certain affections of the hip.<\/jats:p><\/jats:sec>","DOI":"10.2174\/1874325001812010069","type":"journal-article","created":{"date-parts":[[2018,3,6]],"date-time":"2018-03-06T10:01:39Z","timestamp":1520330499000},"page":"69-74","update-policy":"https:\/\/doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Is Head and Neck Resection of the Femur (Girdlestone\u2019s Procedure) Still Relevant? Indications and Results About 24 Cases"],"prefix":"10.2174","volume":"12","author":[{"given":"Mamoudou","family":"Sawadogo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamado","family":"Kafando","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salam","family":"Ouedraogo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre Stanislas","family":"Korsaga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Souleymane","family":"Ouedraogo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sayouba","family":"Tinto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anatole Jean Innocent","family":"Ouedraogo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Tall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Songahir Christophe","family":"DA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"965","reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1016\/S0140-6736(00)41922-7","volume":"241","author":"Girdlestone G.R.","year":"1943","unstructured":"Girdlestone GR. Acute pyogenic arthritis of the hip: an operation giving free access and effective drainage. Lancet 1943; 241 : 419-21.","journal-title":"Lancet"},{"key":"ref2","first-page":"371","volume":"76","author":"Merle d\u2019Aubign\u00e9 R.","year":"1990","unstructured":"Merle d\u2019Aubign\u00e9 R. Cotation chiffr\u00e9e de la fonction de la hanche. Rev Chir Orthop Repar Appar Mot 1990; 76 : 371-4.","journal-title":"Rev. Chir. Orthop Repar. Appar. Mot."},{"key":"ref3","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1302\/0301-620X.58B1.1270495","volume":"58","author":"Haw C.S.","year":"1976","unstructured":"Haw CS, Gray DH. Excision arthroplasty of the hip. J Bone Joint Surg Br 1976; 58 (1) : 44-7.","journal-title":"J. Bone Joint Surg. Br."},{"key":"ref4","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1302\/0301-620X.59B3.893508","volume":"59","author":"Clegg J.","year":"1977","unstructured":"Clegg J. The results of the pseudarthrosis after removal of an infected total hip prosthesis. J Bone Joint Surg Br 1977; 59 (3) : 298-301.","journal-title":"J. Bone Joint Surg. Br."},{"key":"ref5","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1302\/0301-620X.66B3.6725342","volume":"66","author":"Bourne R.B.","year":"1984","unstructured":"Bourne RB, Hunter GA, Rorabeck CH, Macnab JJ. A six-year follow-up of infected total hip replacements managed by Girdlestone\u2019s arthroplasty. J Bone Joint Surg Br 1984; 66 (3) : 340-3.","journal-title":"J. Bone Joint Surg. Br."},{"key":"ref6","first-page":"80","volume":"5","author":"Lowry Don A.","year":"1985","unstructured":"Lowry Don A. M.D. Long term follow-up of excision arthroplasties of the hip. Iowa Orthop J 1985; 5 : 80-6.","journal-title":"Iowa Orthop. 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