What question did this study set out to answer?

This study aims to compare outcomes of patients with periprosthetic femoral fractures after total hip arthroplasty based on the timing of the fracture.

June 19, 2026Journal of Bone and Joint Surgery

Alarmingly High Rates of Complications and Refracture Among Patients with Early Periprosthetic Femoral Fracture Within 30 Days After THA

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Authors

AAAlexander J. AcuñaRush University Medical Center EFEnrico M. ForlenzaRush University Medical Center CJConor M. JonesRush University Medical Center

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Implication

Randomized trial reveals higher complication rates in patients with early periprosthetic femoral fractures post-THA, suggesting need for improved interventions.

Key Points

This study aims to compare outcomes of patients with periprosthetic femoral fractures after total hip arthroplasty based on the timing of the fracture.
Analyzed a national database for patients who underwent primary total hip arthroplasty from 2010 to 2022.
Propensity-score matched patients based on age, sex, and comorbidities into groups: fractures within 30 days, 31-90 days, and 91 days to 1 year postoperatively.
Utilized regression analyses and survivorship analyses for evaluating infection, refracture, and reoperation rates up to 2 years.
Patients with fractures within 30 days post-THA had significantly higher complication rates within 90 days than those in other groups.
2-year rates free of infection (87.8% vs. 97.7%), refracture (57.4% vs. 99.5%), and reoperation (48.5% vs. 97.6%) were significantly lower for the early fracture cohort compared to those without fractures.
Statistically significant differences were observed (p < 0.05) across all rates compared to both later fracture groups and the no fracture group.

Cite This Study

Acuña et al. (2026) studied this question.

synapsesocial.com/papers/6a34dfa365a5b0777af2eb3c https://doi.org/10.2106/jbjs.25.01355

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June 19, 2026Journal of Bone and Joint Surgery

Alarmingly High Rates of Complications and Refracture Among Patients with Early Periprosthetic Femoral Fracture Within 30 Days After THA

View Full Paper

Ask AI

Bookmark

Authors

AAAlexander J. AcuñaRush University Medical Center EFEnrico M. ForlenzaRush University Medical Center CJConor M. JonesRush University Medical Center

Discussion

Member takes

Implication

Randomized trial reveals higher complication rates in patients with early periprosthetic femoral fractures post-THA, suggesting need for improved interventions.

Key Points

This study aims to compare outcomes of patients with periprosthetic femoral fractures after total hip arthroplasty based on the timing of the fracture.
Analyzed a national database for patients who underwent primary total hip arthroplasty from 2010 to 2022.
Propensity-score matched patients based on age, sex, and comorbidities into groups: fractures within 30 days, 31-90 days, and 91 days to 1 year postoperatively.
Utilized regression analyses and survivorship analyses for evaluating infection, refracture, and reoperation rates up to 2 years.
Patients with fractures within 30 days post-THA had significantly higher complication rates within 90 days than those in other groups.
2-year rates free of infection (87.8% vs. 97.7%), refracture (57.4% vs. 99.5%), and reoperation (48.5% vs. 97.6%) were significantly lower for the early fracture cohort compared to those without fractures.
Statistically significant differences were observed (p < 0.05) across all rates compared to both later fracture groups and the no fracture group.

Cite This Study

Acuña et al. (2026) studied this question.

synapsesocial.com/papers/6a34dfa365a5b0777af2eb3c https://doi.org/10.2106/jbjs.25.01355

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