Excision Arthroplasty

This page is about excision arthroplasty: A procedure to create a gap between the leg and hip bones which can then fill with fibrous tissue.


When further implant surgery is not technically feasible, as may occur with long term sepsis and excessive bone loss, a Girdlestone’s excision arthroplasty may be done. This involves removal of components, allowing for the development of in-growth of fibrous tissue between the pelvis and femur.

In the case of an infected total hip replacement a staged revision may be performed. A modification of a Girdlestone’s procedure is then done, whereby a “cement spacer” is utilised as a false hip joint between the excision arthroplasty operation and the staged revision surgery performed at a later date. There are some cases where a single stage revision can be performed for sepsis of a total hip joint.