Artículo traducido Reemplazo total de cadera en pacientes menores de 50 años: ¿tiene la fijación no cementada mejores resultados?

• Published in: Revista española de cirugía ortopédica y traumatología 2024-12
• Main Authors: Perez Alamino, L, Garabano, G, Rodriguez, J, Lopreite, F, Pesciallo, C
• Format: Article
• Language: eng ; spa
• ISSN: 1988-8856; 1988-8856
• DOI: 10.1016/j.recot.2024.12.008

Cementless fixation for hip arthroplasties has increased in the last decades, particularly in younger patients. The purpose of this study was to compare the long-term results of three different types of fixations in patients under 50 years old.BACKGROUNDCementless fixation for hip arthroplasties has increased in the last decades, particularly in younger patients. The purpose of this study was to compare the long-term results of three different types of fixations in patients under 50 years old.Cemented, hybrid and cementless fixations were assessed in patients under 50 years old with a minimum follow-up of 8 years. Loosening, demarcation, complications, and prosthesis survival were assessed. Functional analysis was performed with the modified Harris Hip Score and Visual analogue scale was collected.METHODSCemented, hybrid and cementless fixations were assessed in patients under 50 years old with a minimum follow-up of 8 years. Loosening, demarcation, complications, and prosthesis survival were assessed. Functional analysis was performed with the modified Harris Hip Score and Visual analogue scale was collected.Final series consisted in 222 patients. Significant improvement was observed regarding mHHS and VAS score in each group. We observed statistically significant difference regarding demarcation between the groups (P