Retrospective cohort study of 106 patients who underwent surgery for periprosthetic femoral fracture, comparing one-year mortality against age- and sex-matched controls with native hip fracture (n=309) or primary joint replacement (n=311). Asks: how lethal are these fractures, and do surgical timing and treatment choice affect survival?
When you see a periprosthetic femoral fracture, treat it with the same urgency as a hip fracture — aim for the OR within two days and counsel families that one-year mortality approaches 11%.
For Vancouver type-B fractures where implant stability is uncertain, favor revision arthroplasty over ORIF: the mortality data support it, likely because earlier weight-bearing after revision reduces immobilization complications.
Retrospective cohort study of 106 patients who underwent surgery for periprosthetic femoral fracture, comparing one-year mortality against age- and sex-matched controls with native hip fracture (n=309) or primary joint replacement (n=311). Asks: how lethal are these fractures, and do surgical timing and treatment choice affect survival?
When you see a periprosthetic femoral fracture, treat it with the same urgency as a hip fracture — aim for the OR within two days and counsel families that one-year mortality approaches 11%.
For Vancouver type-B fractures where implant stability is uncertain, favor revision arthroplasty over ORIF: the mortality data support it, likely because earlier weight-bearing after revision reduces immobilization complications.