ArticleInternational orthopaedics2015
Prevalence and risk factors for intra-operative periprosthetic fractures in one thousand eight hundred and seventy two patients undergoing total hip arthroplasty: a cross-sectional study.
Article in International orthopaedics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Risk factors for periprosthetic femoral fractures following hip arthroplasty: a systematic review and meta-analysis.Annals of medicine · 2025Pooled it
- Factors affecting the incidence of postoperative periprosthetic fractures following primary and revision hip arthroplasty: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2021Pooled it
- Biomechanical comparison of cemented versus cementless fixation in intraoperative femoral fractures during total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
- Periprosthetic femur fractures of the hip in elderly patients: early surgery reduces operative time, hospitalization, and mortality.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Observational
- Combinational Periprosthetic Hip Joint Infection and Fracture: A Two-Stage Revision with Long Femoral Stem Spacers.Malaysian orthopaedic journal · 2025Article
- Etiology, Outcomes, and Complications of Total Hip Arthroplasty in Younger Patients: A Nationwide Big Data Analysis.Journal of clinical medicine · 2024Article
- The History of Classification Systems for Periprosthetic Femoral Fractures: A Literature Review.Orthopaedic surgery · 2024Article
- Periprosthetic fracture following arthroplasty for femoral neck fracture: is a cemented stem protective?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Results of Utilizing Cerclage Wires in the Management of Intraoperative Vancouver B1 Fractures in Primary Total Hip Arthroplasties: A Retrospective Cohort Investigation into Clinical and Radiographic Outcomes.Journal of clinical medicine · 2024Article
- Incidence and risk factors of intraoperative periprosthetic femoral fractures during primary total hip arthroplasty: 218,423 cases reported to the Norwegian Arthroplasty Register between 1987 and 2020.Acta orthopaedica · 2022Article
- Periprosthetic occult acetabular fracture: an unknown side effect of press-fit techniques in primary cementless total hip arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Comparison of Bone Remodeling Between Collum Femoris-Preserving Stems and Ribbed Stems in 1-Stage Bilateral Total Hip Arthroplasty.Medical science monitor : international medical journal of experimental and clinical research · 2020Article
- Occult intra-operative periprosthetic fractures of the acetabulum may affect implant survival.International orthopaedics · 2019Article
- Article
- Higher prevalence of periprosthetic fractures with ceramic on polyethylene hip bearing compared with ceramic on ceramic on the contralateral side: a forty year experience with hip osteonecrosis.International orthopaedics · 2018Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to identify the frequency and type of intra-operative periprosthetic fractures and to describe risk factors in a single tertiary, public hospital, so that these events could be prevented, even among less experienced surgeons.
methodsThis is a cross-sectional study, based on medical records and imaging exams from the archives of a public, tertiary hospital, from April 1998 to October 2013. All consecutive patients submitted to total hip arthroplasty (THA) in the study period were evaluated, excluding unipolar or bipolar arthroplasty, surgery for the osteosynthesis of periprosthetic fractures, surgical procedure to clean infection site without component substitution and not arthroplastic surgery. Data were analyzed with chi-squared test and multivariate Cox regression.
resultsIn the study period, 1,872 THA (1,728 patients) were performed and analyzed, with 144 bilateral cases. In 173 cases, patients had undergone surgical procedures other than THA previously, and in only 260 the surgery consisted of revision THA. There were only two cases of resection THA. Among all patients 101 intra-operative periprosthetic fractures occurred. The univariate analysis revealed a significantly higher risk of intra-operative fractures in female patients, aged more than 65 years, with indication of primary THA and the presence of a previous hip surgery. It indicated also that revision surgeries were associated with a 2.8-fold higher risk of intra-operative fracture, 2.18-fold risk in a previously operated hip and 3.9-fold in cases of resection THA or revision surgery in two stages.
conclusionsIntraoperative periprosthetic fracture is a rare event, and it is associated with revision type surgery and THA in a previously operated hip.
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