Curtis W, et al. - Researchers performed a retrospective comparison of surgical management of severe hip pain in patients with history of substance abuse treated by modified Girdlestone Resection Arthroplasty (RA) vs delayed total hip arthroplasty (THA) following yearlong sobriety pathway. In less than one-third of enrolled patients, yearlong sobriety pathway leading to THA resulted in successful pain control. Compared to delayed THA, RA enabled more patients with substance abuse to be treated sooner and resulted in a successful reduction of pain in a similar proportion of patients. Thereby suggesting that RA could be an efficacious pain-reducing procedure for these patients.