ArticleActa orthopaedica2022
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.
Article in Acta orthopaedica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- The Direct Superior Approach in Total Hip Arthroplasty: A Systematic Review.JBJS reviews · 2024Pooled it
- Intraoperative six-axis loads during direct anterior approach total hip arthroplasty using a leg positioner: quantitative patterns across manoeuvres.International orthopaedics · 2026Article
- Impact of Femoral Morphology and Stem Design on Intraoperative Periprosthetic Femoral Fractures in Cementless Total Hip Arthroplasty.Journal of clinical medicine · 2026Article
- Intraoperative Periprosthetic Proximal Femoral Fractures During Direct Anterior Approach: A New Screw and Plate Fixation Method.Journal of clinical medicine · 2026Article
- Safety of posterolateral approach with a polished cemented stem and a modular dual mobility implant in patients over 75 years old.Journal of orthopaedics · 2026Article
- Article
- Occult pelvic fractures following primary total hip arthroplasty: A retrospective CT-Based cohort study.Journal of orthopaedics · 2026Article
- Hybrid total hip arthroplasty in patients aged over 75: Patient-reported outcomes and complication rates.Journal of clinical orthopaedics and trauma · 2026Article
- Septic Two-Stage Cementless Hip Revision Arthroplasty Is Safe but Has Higher Complication and Mortality Rates in Older Adults.Journal of clinical medicine · 2025Article
- Biomechanical comparison of cemented versus cementless fixation in intraoperative femoral fractures during total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
- Article
- Mitigating calcar fracture risk with automated impaction during total hip arthroplasty.Journal of orthopaedics · 2025Article
- EFFECTIVENESS OF CEMENTLESS PROSTHESIS IN PATIENTS OVER 70 YEARS OF AGE.Acta ortopedica brasileira · 2025Article
- Intraoperative Periprosthetic Fractures in Total Hip Arthroplasty: A 1.6-Million-Patient Analysis of Complications, Costs, and the Challenges in AI-Based Prediction.Journal of clinical medicine · 2024Article
- Increased risk of intraoperative and early postoperative periprosthetic femoral fracture with compaction compared with broaching in cementless THA: a single-center study of 6,788 hips.Acta orthopaedica · 2024Article
- Age as a Risk Factor for Intraoperative Periprosthetic Femoral Fractures in Cementless Hip Hemiarthroplasty for Femoral Neck Fractures: A Retrospective Analysis.Clinics in orthopedic surgery · 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
- Reliably calibrating X-ray images required for preoperative planning of THA using a device-adapted magnification factor.PloS one · 2024Article
- Surgeon-Stratified Periprosthetic Fracture Risk in a Single-Hospital Cohort of 1531 Uncemented ABG-II Femoral Stems at Primary Total Hip Arthroplasty.Indian journal of orthopaedics · 2023Article
- Patients With Shorter Stature Exhibit Minimal Hammering Sound Changes During Cementless Stem Insertion in Total Hip Arthroplasty.Arthroplasty today · 2023Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeIntraoperative periprosthetic femoral fractures (IPFFs) can occur during primary total hip arthroplasty (THA). We describe the incidence of IPFFs during THA in Norway and estimate potential risk factors that could be associated with IPFF Patients and methods - Data from the Norwegian Arthoplasty Register (1987-2020) was used: 2,268 IPFFs from 218,423 primary THAs in 172,598 patients. The following factors were analyzed: sex, age, diagnosis, previous operation on the same hip, surgical approach, and stem fixation technique. Association of these factors with IPFF risk was assessed using multivariable Poisson regression.
resultsIPFF occurred during 2,268 operations with an incidence of 1.0% among all primary THAs. The risk of IPFF was associated with female sex (relative risk 1.8; 99% CI 1.5-2.1), age 80-90 years and age over 90 years (compared with age 60-70 years: 1.3; CI 1.0-1.6 and 2.6; CI 1.6-4.3, respectively), non-osteoarthritis diagnoses (2.2; CI 1.9-2.6), previous surgery to the same hip (1.8; CI 1.5-2.2), lateral approach (compared with the posterior approach: 1.5; CI 1.1-2.0), and cementless stem fixation (2.7; CI 2.0-3.6).
interpretationSurgeons should be aware of the factors associated with an increased risk of IPFF: female sex, age above 80 years, non-osteoarthritis diagnoses, and previous surgery to the same hip. Cemented stem fixation and posterior approach should be favored in high-risk patients, such as elderly women.
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