Published 4 issues per year
ISSN Print: 1050-6934
ISSN Online: 1940-4379
Indexed in
Incidence and Future Projections of Periprosthetic Femoral Fracture Following Primary Total Hip Arthroplasty: An Analysis of International Registry Data
ABSTRACT
As the number of total hip arthroplasties (THA) increases, the number of fractures will increase as well. The purpose of this study was to determine the incidence and prevalence of intra- and post-operative periprosthetic fractures following THA based on national joint registry data and to create a projection model that estimates the future fracture burden. Registry data from multiple joint registries were analyzed. Data on the incidence and prevalence of intra- and post-operative periprosthetic fractures were extracted. The prevalences between individual countries were analyzed to determine the mean prevalence. Three quantitative models were then generated to predict the fracture burden in the United States based on future population trends between 2015 and 2060. The mean incidence of post-operative periprosthetic fractures requiring revision was 0.8% while the incidence of intraoperative fractures was 0.8%. When all revision arthroplasties were assessed, the mean proportion of hips revised due to periprosthetic fracture was 6.6%. Projection models demonstrated that the number of periprosthetic fractures is expected to rise by a mean 4.6% every decade over the next 30 years. Periprosthetic fractures represent a small but important proportion of the revision THA burden worldwide. The incidence of both intra- and post-operative fractures is low, but the number is likely to steadily increase along with the number of surgeries performed. The number of fractures may rise even further as the incidence may potentially be higher in elderly, osteoporotic patients who are likely to represent a greater proportion of the arthroplasty population, particularly.
-
Rodriguez José A., Berliner Zachary P., Williams Carlos A., Robinson Jonathan, Hepinstall Matthew S., Cooper H. John, Management of Vancouver Type-B2 and B3 Periprosthetic Femoral Fractures, JBJS Essential Surgical Techniques, 7, 3, 2017. Crossref
-
Schwarz E., Reinisch G., Brandauer A., Aharinejad S., Scharf W., Trieb K., Load transfer and periprosthetic fractures after total hip arthoplasty: Comparison of periprosthetic fractures of femora implanted with cementless distal-load or proximal-load femoral components and measurement of the femoral strain at the time of implantation, Clinical Biomechanics, 54, 2018. Crossref
-
Turnbull Gareth S., Scott Chloe E. H., MacDonald Deborah J., Breusch Steffen J., Return to activity following revision total hip arthroplasty, Archives of Orthopaedic and Trauma Surgery, 139, 3, 2019. Crossref
-
Johnson Joey P., Cohen Eric M., Antoci Valentin, Treatment of a periprosthetic femur fracture around an antibiotic spacer with revision and an antibiotic plate, Arthroplasty Today, 5, 4, 2019. Crossref
-
Rupp Markus, Kern Stefanie, Ismat Abdullah, El Khassawna Thaqif, Knapp Gero, Szalay Gabor, Heiss Christian, Biehl Christoph, Computed tomography for managing periprosthetic femoral fractures. A retrospective analysis, BMC Musculoskeletal Disorders, 20, 1, 2019. Crossref
-
Miller Thea M., Mandell Daniel T., Dannenbaum Joseph H., Golenbock Samuel W., Talmo Carl T., Anatomic and Patient Risk Factors for Postoperative Periprosthetic Hip Fractures: A Case-Control Study, The Journal of Arthroplasty, 35, 6, 2020. Crossref
-
De Meo Daniele, Zucchi Benedetta, Castagna Valerio, Pieracci Edoardo M., Mangone Massimiliano, Calistri Alessandro, Persiani Pietro, Villani Ciro, Validity and reliability of the Unified Classification System applied to periprosthetic femur fractures: a comparison with the Vancouver system, Current Medical Research and Opinion, 36, 8, 2020. Crossref
-
Karam James, Campbell Paul, Desai Shivang, Hunter Michael, Periprosthetic proximal femoral fractures in cemented and uncemented stems according to Vancouver classification: observation of a new fracture pattern, Journal of Orthopaedic Surgery and Research, 15, 1, 2020. Crossref
-
Ragland Katelyn, Cherney Steven M., Stambough Jeffrey B., Mears Simon C., Open Periprosthetic Knee Fracture: A Case Report and Review of the Literature, Geriatric Orthopaedic Surgery & Rehabilitation, 11, 2020. Crossref
-
Lamb J.N., Jain S., King S.W., West R.M., Pandit H.G., Risk Factors for Revision of Polished Taper-Slip Cemented Stems for Periprosthetic Femoral Fracture After Primary Total Hip Replacement, Journal of Bone and Joint Surgery, 102, 18, 2020. Crossref
-
Jain Sameer, Mohrir Ganesh, Townsend Oliver, Lamb Jonathan N., Palan Jeya, Aderinto Joseph, Pandit Hemant, Reliability and validity of the Unified Classification System for postoperative periprosthetic femoral fractures around cemented polished taper-slip stems, The Bone & Joint Journal, 103-B, 8, 2021. Crossref
-
Zagra Luigi, D’Apolito Rocco, Guindani Nicola, Zatti Giovanni, Rivera Fabrizio, Ravasi Flavio, Mosconi Mario, Momoli Alberto, Massè Alessandro, Franceschini Massimo, D’Angelo Fabio, Dallari Dante, Catani Fabio, Casiraghi Alessandro, Bove Federico, Castelli Claudio Carlo, Do standards of care and early outcomes of periprosthetic fractures change during the COVID-19 pandemic? A multicentre study, Journal of Orthopaedics and Traumatology, 22, 1, 2021. Crossref
-
Nasser Ahmed A H, Chauhan Govind, Osman Khabab, Nandra Saroop, Nandra Rajpal, Mahmood Ansar, Study protocol for a national retrospective review of femoral periprosthetic fracture management. Is there variation in practice?, Journal of Surgical Protocols and Research Methodologies, 2021, 1, 2021. Crossref
-
Ramavath Ashoklal, Lamb Jonathan N., Palan Jeya, Pandit Hemant G., Jain Sameer, Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes, EFORT Open Reviews, 5, 9, 2020. Crossref
-
Farrow L., Ablett A. D., Sargeant H. W., Smith T. O., Johnston A. T., Does early surgery improve outcomes for periprosthetic fractures of the hip and knee? A systematic review and meta-analysis, Archives of Orthopaedic and Trauma Surgery, 141, 8, 2021. Crossref
-
Matar Hosam E., Selvaratnam Veenesh, Jain Mikhil, Board Tim N., Shah Nikhil, Cortical strut allografts in salvage revision arthroplasty: Surgical technique and clinical outcomes, Journal of Clinical Orthopaedics and Trauma, 17, 2021. Crossref
-
Luger Matthias, Hipmair Günter, Schopper Clemens, Schauer Bernhard, Hochgatterer Rainer, Allerstorfer Jakob, Gotterbarm Tobias, Klasan Antonio, Low rate of early periprosthetic fractures in cementless short-stem total hip arthroplasty using a minimally invasive anterolateral approach, Journal of Orthopaedics and Traumatology, 22, 1, 2021. Crossref
-
Crawford David A., Berend Keith R., Reduction of Periprosthetic Proximal Femur Fracture in Direct Anterior Total Hip According to Stem Design, Orthopedic Clinics of North America, 52, 4, 2021. Crossref
-
Copp Jonathan, Sivasundaram Lakshmanan, Abola Matthew V., Schell Adam, Trivedi Nikunj N., Ochenjele George, Is Timing to Surgery an Independent Risk Factor for Complications Following Operative Treatment of Periprosthetic Lower Extremity Fractures?, Journal of Orthopaedic Trauma, 35, 6, 2021. Crossref
-
van den Kieboom Janna, Tirumala Venkatsaiakhil, Xiong Liang, Klemt Christian, Kwon Young-Min, Periprosthetic joint infection is the main reason for failure in patients following periprosthetic fracture treated with revision arthroplasty, Archives of Orthopaedic and Trauma Surgery, 2021. Crossref
-
Fink Bernd, Ursachen für femorale Revisionen, in Femorale Revisionsendoprothetik, 2021. Crossref
-
Pakarinen Oskari A., Neuvonen Perttu S., Lainiala Olli S., Reito Aleksi R.P., Eskelinen Antti P., Periprosthetic Femoral Fracture Is a Leading Cause of Early Revision With Taper-Slip Stems in Primary Total Hip Arthroplasty: An Analysis of 2765 Total Hip Arthroplasties From a High-Volume Hospital, The Journal of Arthroplasty, 36, 11, 2021. Crossref
-
Carli A. V., Negus J. J., Haddad F. S., Periprosthetic femoral fractures and trying to avoid them, The Bone & Joint Journal, 99-B, 1_Supple_A, 2017. Crossref
-
Fink B., Oremek D., Hip revision arthroplasty for failed osteosynthesis in periprosthetic Vancouver type B1 fractures using a cementless, modular, tapered revision stem, The Bone & Joint Journal, 99-B, 4_Supple_B, 2017. Crossref
-
Lamb J. N., Baetz J., Messer-Hannemann P., Adekanmbi I., van Duren B. H., Redmond A., West R. M., Morlock M. M., Pandit H. G., A calcar collar is protective against early periprosthetic femoral fracture around cementless femoral components in primary total hip arthroplasty, The Bone & Joint Journal, 101-B, 7, 2019. Crossref
-
Grewal Urpinder Singh, Bawale Rajesh, Singh Bijayendra, Sandiford Amir, Samsani Srinivas, Outcomes following non-operatively managed periprosthetic fractures surrounding uncemented femoral stems, Journal of Clinical Orthopaedics and Trauma, 24, 2022. Crossref
-
Mulford Jonathan S., Mathew Ronnie, Penn David, Cuthbert Alana R., De Steiger Richard, Periprosthetic fracture as a late mode of failure of the Anatomique Benoist Girard II femoral prosthesis, ANZ Journal of Surgery, 92, 5, 2022. Crossref
-
Fink Bernd, Reasons for Femoral Revision, in Femoral Revision Arthroplasty, 2022. Crossref
-
Khwaja Ansab, Mahoney William, Johnson Jay, Trompeter Alex, Lowe Jason, Biomechanics of periprosthetic femur fractures and early weightbearing, European Journal of Orthopaedic Surgery & Traumatology, 31, 5, 2021. Crossref
-
Barrow Jonathan A, Divecha Hiren M, Hastie Graham R, Wynn Jones Henry, Board Tim N, A comparison of mortality rates following revision hip arthroplasty for periprosthetic fracture, infection or aseptic loosening, HIP International, 2022. Crossref
-
Haque Md Ariful, Tovani-Palone Marcos Roberto, Franchi Thomas, Zhang Long, Qin Jing, Liu Luyun, Zhang Yingjie, Xiong Ying, Wu Tong, Xiao Jiayu, Optimal configuration of a three-rod ortho-bridge system in the treatment of Vancouver type B1 periprosthetic femoral fractures: A finite element analysis, Journal of Orthopaedics, 30, 2022. Crossref
-
Nakayama Yuhei, Sonohata Motoki, Kitajima Masaru, Sugino Haruaki, Hashimoto Akira, Hirata Hirohito, Kii Sakumo, Nakashima Takema, Kawano Shunsuke, Eto Shuichi, Ueno Masaya, Motegi Saori, Mawatari Masaaki, Fragility fracture following total hip arthroplasty, Journal of Orthopaedic Science, 27, 2, 2022. Crossref
-
Saemann Michael, Darowski Martin, Hennicke Nina S., Bader Rainer, Sander Manuela, Kluess Daniel, Experimental analysis of early periprosthetic femoral fractures with uncemented straight hip stems, Clinical Biomechanics, 91, 2022. Crossref
-
Park Jung‐Wee, Won Seok‐Hyung, Kim Hong‐Seok, Won Samuel Jaeyoon, Lee Young‐Kyun, Koo Kyung‐Hoi, Current Incidence and Future Projection of Periprosthetic Fractures in South Korea: A Study Based on National Claim Database, Orthopaedic Surgery, 14, 3, 2022. Crossref
-
Samim Mohammad, Khodarahmi Iman, Burke Christopher, Fritz Jan, Postoperative Musculoskeletal Imaging and Interventions Following Hip Preservation Surgery, Deformity Correction, and Hip Arthroplasty, Seminars in Musculoskeletal Radiology, 26, 03, 2022. Crossref
-
Miettinen Simo S.A., Törmä Samuli V., Lappalainen Janne M., Sund Reijo, Kröger Heikki, Retrospective Population-Based Cohort Study of Incidence, Complications, and Survival of 202 Operatively Treated Periprosthetic Femoral Fractures, The Journal of Arthroplasty, 36, 7, 2021. Crossref
-
Epidemiology and characteristics of femoral periprosthetic fractures, The Bone & Joint Journal, 104-B, 8, 2022. Crossref
-
Smitham Peter J., Carbone Tania A., Bolam Scott M., Kim Young S., Callary Stuart A., Costi Kerry, Howie Donald W., Munro Jacob T., Solomon Lucian B., Vancouver B2 Peri-Prosthetic Fractures in Cemented Femoral Implants can be Treated With Open Reduction and Internal Fixation Alone Without Revision, The Journal of Arthroplasty, 34, 7, 2019. Crossref
-
Turnbull Gareth S., Marshall Claire, Nicholson Jamie A., MacDonald Deborah J., Clement Nicholas D., Breusch Steffen J., The Olympia anatomic polished cemented stem is associated with a high survivorship, excellent hip-specific functional outcome, and high satisfaction levels: follow-up of 239 consecutive patients beyond 15 years, Archives of Orthopaedic and Trauma Surgery, 142, 9, 2021. Crossref
-
Wakama Hitoshi, Okamoto Yoshinori, Okayoshi Tomohiro, Ikeda Kuniaki, Matsuyama Junya, Otsuki Shuhei, Neo Masashi, Unfavorable cortical hypertrophy potentially predisposes to periprosthetic “axe splitter” fracture in a collarless polished curved triple-tapered cemented stem: The time-dependent radiographic change in five SC-stem cases, Journal of Orthopaedic Science, 2022. Crossref
-
Grewal Mr Urpinder Singh, Bawale Mr Rajesh, Singh Professor Bijayendra, Sandiford Mr Amir, Samsani Mr Srinivas, The use of Nottingham Hip Fracture score as a predictor of 1-year mortality risk for periprosthetic hip fractures, Injury, 53, 2, 2022. Crossref
-
Bhadresha Ashwin, De Chiranjit, El Tagy Hassan, Neelapala Venkata, Veettil Manoj, A Quality Improvement Project to Improve Periprosthetic Fracture Management at District General Hospitals, Cureus, 2022. Crossref
-
Laubscher Kim, Dey Roopam, Nortje Marc, Held Michael, Kauta Ntambue, Primary hip and knee arthroplasty at district level is safe and may reduce the burden on tertiary care in a low-income setting, BMC Musculoskeletal Disorders, 23, 1, 2022. Crossref