[Translated article] Total hip arthroplasty in patients under 50 years old: Does cementless fixation have better results?

Background: 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 three different types of fixations in patients under 50years old.

Methods: Cemented, hybrid and cementless fixations were assessed in patients under 50years old with a minimum follow-up of 8years.

[Total knee replacement in patients under 60 years with high functional demand: functional outcomes and return to sports after an average 2-year follow-up].

Introduction: a common concern in presurgical medical appointment of total knee replacement medical appointment is return to exercise. The purpose of this study was to analyze functional results and return to sport in patients under 60 years of age after this surgery.

Material And Methods: we retrospectively analyzed 41 total knee replacements in 36 athletic patients (average age: 53 years [46-60]).

Complications of intraosseous administration of vancomycin in total hip arthroplasty.

Introduction: The incidence of periprosthetic joint infection (PJI) in hip surgeries has significantly decreased thanks to intravenous (IV) antibiotic prophylaxis. However, in patients colonized with methicillin-resistant Staphylococcus aureus (MRSA) or those at risk of colonization, it is necessary to include vancomycin in the prophylaxis. Intraosseous administration of vancomycin could enhance its effectiveness in total hip arthroplasty (THA).

[Intraosseous vancomycin in total knee arthroplasty].

Introduction: intravenous antibiotic prophylaxis has significantly reduced the incidence of periprosthetic joint infection (PJI) in knee surgeries. However, for patients colonized with methicillin-resistant Staphylococcus aureus (MRSA) or those at risk of colonization, prophylaxis should include vancomycin. Intraosseous (IO) administration of vancomycin could enhance its effectiveness in total knee arthroplasty (TKA).

[Partial exchange of components in chronic hip infection].

Introduction: one- or two-stage total revision is considered the gold standard for the treatment of hip arthroplasty with chronic infection. However, during the removal of a fixed prosthetic component, the host bone may be damaged, making definitive prosthetic reimplantation difficult.

Objective: we present a series of patients treated for chronic periprosthetic hip infection with preservation of one fixed component.