Risk Factors for Postoperative Stem Revision in Patients with Periprosthetic Femoral Fractures after Primary Total Hip Arthroplasty: Nationwide Outcomes Based on the Dutch Arthroplasty Registry
The highest risk of PPF in THA requiring stem revision was found in older female patients with high ASA class, Charnley score and BMI as well as uncemented implants. This result may prompt surgeons to strive for cemented stem fixation in patients with declining bone stock when feasible. Furthermore, care should be taken when using anterior approaches for patients with specific risk factors.
Authors
- Maud A. M. Vesseur (ORCID: https://orcid.org/0000-0001-9086-9620)
- Bert Boonen (ORCID: https://orcid.org/0000-0002-1301-4802)
- Liza N. van Steenbergen (ORCID: https://orcid.org/0000-0002-8141-842X)
- Raoul van Vugt (ORCID: https://orcid.org/0000-0002-3293-7223)
- Jetse Jelsma (ORCID: https://orcid.org/0000-0003-2396-7970)
- Martijn G.M. Schotanus (ORCID: https://orcid.org/0000-0002-3975-6337)
- Sander M. J. van Kuijk (ORCID: https://orcid.org/0000-0003-2796-729X)
- Jasper Most (ORCID: https://orcid.org/0000-0001-8591-5629)
Institutions
- Maastricht University (NL)
- Netherlands Heart Registration (NL)
- Zuyderland Medisch Centrum (NL)
- Sint Maartenskliniek (NL)
Publication Details
- Journal
- Hip & Pelvis
- Published
- 2025-12-01
- DOI
- https://doi.org/10.5371/hp.2025.37.4.279
- Primary Topic
- Orthopaedic implants and arthroplasty
- Type
- article
- Field-Weighted Citation Impact
- 0.00