Journal of Orthopedics and Rheumatism

Case Report Pages 108-112

Girdlestone Resection Arthroplasty: A Salvage Procedure for Severe Rheumatoid Arthritis

Authors: Daniel T DeGenova, Alex S Paulini, Grant Huber, Brett Hoffman, Mark Isaacson and Benjamin C Taylor

Abstract: Occurring as the most common form of inflammatory arthritis, rheumatoid arthritis is a progressive autoimmune disease that carries significant morbidity and mortality. Notably, there are prominent orthopedic manifestations that present continued challenges for the orthopaedic surgeon when choosing appropriate operative management. In regard to the hip joint, up to 25% of all patients with rheumatoid arthritis will demonstrate some pathology that may ultimately progress to a stage that produces significant morbidity and disability. The current favorable treatment for patients with advanced rheumatoid arthritis of the hip is cementless total hip arthroplasty; however, the literature is scarce with other treatment modalities, especially in patients that are poor candidates for total hip arthroplasty.

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