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The report describes a 73-year-old man with a right neck femur fracture and multiple prior operations, later complicated by surgical site infection, persistent infection despite debridement and prosthesis removal, and recurrent sinus discharge. The technique targets post-procedure instability while supporting pain relief and infection control.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/proximal-femur-stabilization-using-prolene-mesh-in-girdlestone-resection-arthroplasty-a-case-report/447565/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/proximal-femur-stabilization-using-prolene-mesh-in-girdlestone-resection-arthroplasty-a-case-report/447565.png","ImageObject",300,407,{"name":92,"@type":93},"CatatanPagi","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-05","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the clinical problem addressed by this case report?","Question",{"text":112,"@type":113},"The case focuses on managing an infected, failed total hip arthroplasty complicated by persistent infection and resultant hip instability, along with pain and functional difficulty.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What procedure forms the basis of the treatment in the report?",{"text":117,"@type":113},"The treatment uses Girdlestone resection arthroplasty, which involves resection of the femoral head and neck to control infection and relieve pain, often leaving fibrous pseudarthrosis and instability.",{"name":119,"@type":110,"acceptedAnswer":120},"How does the report’s technique modify the standard approach?",{"text":121,"@type":113},"The authors use a novel stabilization method by stabilizing the proximal femur with Prolene mesh during the Girdlestone resection arthroplasty.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},447565,1790816830,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},962090894170,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Case Report  Journal of Orthopaedic Case Reports 2025 December:15( 12) :Page 135-139   \nProximal Femur Stabilization Using Prolene Meshin Girdlestone Resection Arthroplasty: A Case Report  \nMohitAsthana1, Hemant Sharma1, Alok Sahu1, Shankar Singh1, Asgar Ali1, Chaitanya Sharma2  \nLearning Point of the Article:  \nGirdlestone resection arthroplasty is a salvage procedure for the hip, involving the removal of the femoral head and neck to control infection and relieve pain, often resulting in a fibrous pseudarthrosis and instability. This article describes a novel technique to reduce  \ninstability after girdlestone resection arthroplasty.  \nAbstract  \nIntroduction: The Girdlestone resection arthroplasty procedure is one of the options for treating an infected hip arthroplasty. It is a surgical procedure that involves resection of the head and neck of the femur, resulting in pseudarthrosis ofthe hip joint. This is often kept as a last resort for patients with significant co-morbidities or when other treatments have been ineffective. This procedure should be considered a salvage procedure, primarily aimed at pain reliefand infection control.  \nCase Report: Wereporta case ofa 73-year-oldmale who sustained a fracture of theneck of the femurin 2019and was operated on multipletimes for the same. He presented us with anunstablehip.  \nConclusion: Weused a novel technique of Girdlestone resection arthroplasty, which involved stabilization of the proximal femur with Prolene mesh.  \nKeywords: Totalhip arthroplasty, Girdlestone, infected totalhip arthroplasty, unstablehip.  \nIntroduction  \nManagement of infected totalhip arthroplasty (THA) has always been a challenging task for surgeons. There are several options widely reported in literature for the treatment of an infected hip arthroplasty: Antibiotics, antibiotics plus debridement, resection-arthroplasty (Girdlestone procedure), one-stage exchange, or two-stage exchange. Gathorne Robert Girdlestone described the technique of head and neck resection of the femur in 1928 for the treatment of tuberculosis of the hip joint [1]. The modern Girdlestone procedure is used primarily for the treatment of peri-prosthetic joint infection (PJI) in the setting of failed THA [2,3,4,5,6]. In such cases, this procedure maybe used  \nas part ofa two-stage revision arthroplasty procedure in which anew prosthesis is later fitted to the patient [7]. It may also be used for definitive treatment in THA failure cases that are not suitable for revision [ 8 ] . This case reports a novel technique of stabilization of the proximal femur using Prolene mesh in Girdlestone resection arthroplasty in a patient with failed THA due to infection.  \nCase Report  \nA 73-year-old male presented tous with pain in the right hip and difficulty in walking for the last 5years. Hehad a history ofa road traffic accident in 2019 and sustained a fracture of the neck of the  \n\n| \u003Cbr>Access this article online\u003Cbr>\u003Cbr>Website: [www.jocr.co.in](www.jocr.co.in)\u003Cbr>\u003Cbr>DOI:\u003Cbr>[https://doi.org/10.13107/jocr.2025.v15.i12.6480](https://doi.org/10.13107/jocr.2025.v15.i12.6480) | Author’s Photo Gallery |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n|  | | | | | | |\n|  | \u003Cbr>1Department of Orthopaedics, Marengo Asia Hospitals, Gurugram, Haryana, India, 2Department of Medicine, GKT School of Medicine, King’s College, London, UK.\u003Cbr>Address of Correspondence:\u003Cbr>Dr. MohitAsthana,\u003Cbr>Department of Orthopaedics, Marengo Asia Hospitals, Gurugram, Haryana, India. [E-mail:](E-mail: mohitdb92@gmail.com)[ mohitdb92@gmail.com](E-mail: mohitdb92@gmail.com) |  |  |  |  |  |\n| Submitted: 30/09/2025; Review: 18/10/2025; Accepted: November 2025; Published: December 2025 |  |  |  |  |  |  |\n| DOI: [https://doi.org/10.13107/jocr.2025.v15.i12.6480](https://doi.org/10.13107/jocr.2025.v15.i12.6480)\u003Cbr>© The Author(s). 2025 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ([https://creat","cbCaip1vfYXNLCV6","https://ap.wps.com/l/cbCaip1vfYXNLCV6","pdf",8071427,"English","# Abstract\n# Introduction\n# Case Report\n## Presentation and prior management\n## Clinical findings\n# Conclusion","[{\"question\":\"What is the clinical problem addressed by this case report?\",\"answer\":\"The case focuses on managing an infected, failed total hip arthroplasty complicated by persistent infection and resultant hip instability, along with pain and functional difficulty.\"},{\"question\":\"What procedure forms the basis of the treatment in the report?\",\"answer\":\"The treatment uses Girdlestone resection arthroplasty, which involves resection of the femoral head and neck to control infection and relieve pain, often leaving fibrous pseudarthrosis and instability.\"},{\"question\":\"How does the report’s technique modify the standard approach?\",\"answer\":\"The authors use a novel stabilization method by stabilizing the proximal femur with Prolene mesh during the Girdlestone resection arthroplasty.\"}]","Proximal Femur Stabilization Using Prolene Mesh in Girdlestone Resection Arthroplasty - A Case Report | PDF",1790721449,13]