Aims Periprosthetic femoral fractures (PFFs) have emerged as the leading cause of reoperation following total hip arthroplasty (THA). This study aimed to evaluate patient-reported outcomes following operative management of PFFs with either fixation or revision arthroplasty around Exeter femoral components. Methods From a trauma database, 112 patients with operatively managed postoperative PFFs involving Exeter femoral componentss were identified from 2017 to 2023 (minimum one year follow-up). Patients who responded (89/112, 79%: mean age 73.3 years (SD 10.1; 44 to 92; 35/89 female) completed validated patient-reported outcome measures (PROMs), including the EuroQol five-dimension three-level questionnaire (EQ-5D-3L), Oxford Hip Score (OHS), and Lower Extremity Functional Scale (LEFS), to assess both recalled prefracture and follow-up status. Results Fractures had been treated with fixation in 65/89 (73%) or revision THA (RTHA) in 24/89 (27%). There were no differences in patient demographic details between fixation and RTHA groups. Compared to recalled prefracture status, patients displayed significant postoperative declines across all PROMs (p 8 points were experienced by 34.8% (31/89) of patients and 62% of patients expressed satisfaction, with no significant differences between operative strategies (p = 0.621). Conclusion Health-related quality of life and joint-specific function declined significantly following Exeter femoral component associated postoperative periprosthetic fractures with comparable outcomes following RTHA or fixation of appropriately selected cases. Despite functional declines, most patients were satisfied with their outcome. Cite this article: Bone Jt Open 2026;7(2):275–282.
Powell-Bowns et al. (Wed,) studied this question.