SynthesisJournal of orthopaedic surgery and research2021
Factors affecting the incidence of postoperative periprosthetic fractures following primary and revision hip arthroplasty: a systematic review and meta-analysis.
Synthesis in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Are periprosthetic hip fractures more severe than native hip fractures? A systematic review of outcomes and resource utilization.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Periprosthetic fractures after hip and knee arthroplasty in France : national trends and future projections.Bone & joint open · 2026Article
- Article
- 10-year survival comparison of two cemented implants in primary total hip arthroplasty for osteoarthritis: a New Zealand regional study.Archives of orthopaedic and trauma surgery · 2025Article
- Establishment and validation of a prognostic nomogram for periprosthetic femoral fracture after total hip replacement surgery.BMC musculoskeletal disorders · 2025Article
- Open reduction, internal fixation of Vancouver B1, C & D type periprosthetic femoral fractures with use of an antiglide plate at fracture apex - The "Apex Plate".Trauma case reports · 2025Article
- Temporal and regional trends of fractures in the United States: A review of the global burden of disease database.Journal of orthopaedics · 2025Article
- A Unique Variant of Intra-Prosthetic Dislocation in Dual Mobility Articulation Total Hip Arthroplasty-Displacement of Metal Liner.Indian journal of orthopaedics · 2024Article
- [Risk factors and prevention strategies for periprosthetic femoral fractures in hip arthroplasty].Orthopadie (Heidelberg, Germany) · 2024Review
- Health-related quality of life (EQ-5D) after revision arthroplasty following periprosthetic femoral fractures Vancouver B2 and B3 in geriatric trauma patients.Archives of orthopaedic and trauma surgery · 2024Article
- The Paradox of the Decline of Cemented Femoral Stems.Arthroplasty today · 2023Article
- Alkaline Phosphatase is an Independent Risk Factor for Periprosthetic Fractures in Total Joint Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- Revision total hip arthroplasty for periprosthetic fracture: epidemiology, outcomes, and factors associated with success.Annals of joint · 2023Review
- Atypical Vancouver B1 Periprosthetic Fractures: The Unsolved Problem.Geriatric orthopaedic surgery & rehabilitation · 2023Article
- Narrative Review of the Mechanism of Hip Prosthesis Dislocation and Methods to Reduce the Risk of Dislocation.Medical science monitor : international medical journal of experimental and clinical research · 2022Review
- Should age be a factor in treatment choice of periprosthetic Vancouver B2-B3 proximal femur fractures? A retrospective analysis of mortality and functional outcomes in elderly patients.Acta bio-medica : Atenei Parmensis · 2022Article
- Revision Total Hip Arthroplasty with Primary Stem or Full-Porous-Coated Long Stem for Aseptic Femoral Component Loosening: A Matched-Pair Study.Orthopedic research and reviews · 2022Article
- Factors influencing results and complications in proximal periprosthetic femoral fractures: a retrospective study at 1- to 8-year follow-up.Acta bio-medica : Atenei Parmensis · 2021Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe increasing number of hip arthroplasties (HA), due to the growing elderly population, is associated with the risk of femoral periprosthetic fractures (FPFs). The purpose of this study was to identify potential risk factors for the development of FPFs after HA.
methodsA systematic review was conducted in five data bases (Medline, Embase, Cochrane, Cinahl, ICTRP) according to the Preferred Reporting Items for Systematic reviews and Meta-analysis (PRISMA) guidelines up to May 2019, using the key words "risk factor," "periprosthetic fracture," and "hip replacement or arthroplasty." Meta-analysis of the clinical outcomes of HA and subgroup analysis based on the factors that were implicated in FPFs was performed.
resultsSixteen studies were included (sample size: 599,551 HA patients, 4253 FPFs, incidence 0.71%). Risk factors statistically associated with increased incidence of FPFs were female gender (+ 40%), previous revision arthroplasty surgery (× 3 times), and the presence of rheumatoid arthritis (× 2.1 times), while osteoarthritis (- 57%), cement application (- 59%), and insertion of Biomet (- 68%) or Thompson's prosthesis (- 75%) were correlated with low prevalence of FPFs. Obesity, cardiac diseases, advanced age, bad general health (ASA grade ≥ 3), and use of Exeter or Lubinus prosthesis were not linked to the appearance of FPFs.
conclusionThis meta-analysis suggested that female gender, rheumatoid arthritis, and revision arthroplasty are major risk factors for the development of FPFs after a HA. In those patients, frequent follow-ups should be planned. Further prospective studies are necessary to clarify all the risk factors contributing to the appearance of FPFs after HA.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.