What does this research mean for the field?

Operatively managed periprosthetic femoral fractures around Exeter femoral components result in significant declines in health-related quality of life and joint-specific function, regardless of whether fixation or revision arthroplasty is performed. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

The study evaluates patient-reported outcomes after managing periprosthetic femoral fractures with different strategies.

February 26, 2026Bone & Joint OpenOpen Access

Patient-reported outcomes following operatively managed periprosthetic femoral fractures around Exeter polished taper slip femoral components

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Authors

MPMatilda F. R. Powell-BownsSouthmead Hospital JSJonathan SuperEdinburgh Royal Infirmary DMDamien H. MartinEdinburgh Royal Infirmary

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Implication

Evaluation of patient-reported outcomes following periprosthetic femoral fractures in operatively managed patients, indicating declines in quality of life despite overall satisfaction.

Key Points

The study evaluates patient-reported outcomes after managing periprosthetic femoral fractures with different strategies.
Identified 112 patients from a trauma database with operatively managed PFFs from 2017-2023.
Patients completed validated outcome measures (PROMs) including EQ-5D-3L, OHS, and LEFS.
Follow-up assessments measured changes in quality of life and joint function post-surgery.
Significant declines in all PROMs postoperatively compared to recalled prefracture status (p < 0.001).
Median EQ-5D declined by 0.106 after fixation and by 0.204 after RTHA, with no significant difference between groups (p = 0.500).
34.8% of patients experienced clinically meaningful declines in OHS greater than 8 points, despite 62% expressing satisfaction overall.

Cite This Study

Powell-Bowns et al. (2026) studied this question.

synapsesocial.com/papers/699fe41d95ddcd3a253e85a4 https://doi.org/10.1302/2633-1462.72.bjo-2025-0129.r2

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Implication

Evaluation of patient-reported outcomes following periprosthetic femoral fractures in operatively managed patients, indicating declines in quality of life despite overall satisfaction.

Patient-reported outcomes following operatively managed periprosthetic femoral fractures around Exeter polished taper slip femoral components

Discussion

Member takes

Implication

Key Points

Cite This Study

Patient-reported outcomes following operatively managed periprosthetic femoral fractures around Exeter polished taper slip femoral components

Discussion

Member takes

Implication

Key Points

Cite This Study

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