Survivorship After Periprosthetic Femur Fracture: Factors Affecting Outcome

Jacob M. Drew, William L. Griffin, Susan M. Odum, Bryce Van Doren, Brock T. Weston, Louis S. Stryker

Research output: Contribution to journalArticlepeer-review

42 Scopus citations


Background: Data addressing risk factors predictive of mortality and reoperation after periprosthetic femur fractures (PPFxs) are lacking. This study examined survivorship and risk ratios for mortality and reoperation after surgical treatment for PPFx and associated clinical risk factors. Methods: A retrospective review was performed for 291 patients treated surgically for PPFx between 2004 and 2013. Primary outcomes were death and reoperation. Results: Mortality at 1 year was 13%, whereas the rate of reoperation was 12%. Greater span of fixation and revision arthroplasty (vs open reduction internal fixation) trended toward a lower likelihood of reoperation. Conclusion: After PPFx, patients have a 24% risk of either death or reoperation at 1 year. Factors contributing to increased mortality are nonmodifiable. Risk of reoperation is minimized with greater span of fixation and performance of revision arthroplasty.

Original languageEnglish (US)
Pages (from-to)1283-1288
Number of pages6
JournalJournal of Arthroplasty
Issue number6
StatePublished - Jun 1 2016
Externally publishedYes


  • Mortality
  • Periprosthetic fracture
  • Revision total hip arthroplasty
  • Revision total knee arthroplasty
  • Total hip arthroplasty
  • Total knee arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine


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