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September 5, 2025Bone & Joint OpenOpen Access

Between-hospital variability in the management and outcomes of postoperative periprosthetic femoral fractures

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Authors

MAMohammad AryaieJEJonathan EvansMRMalcolm Reed

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Overview

Analysis quantifies hospital variation in surgical management and outcomes of postoperative periprosthetic femoral fractures, suggesting areas for improvement.

Key Points

  • Significant inter-hospital variation in management of postoperative periprosthetic femoral fractures reveals potential disparities in treatment.
  • Among 39,035 patients, 66% were female and the median age was 82, underscoring the demographic affected by these fractures.
  • Multilevel models indicated variations in treatment outcomes, with adjusted correlation coefficients for fixation without revision at 4.0% and revision at 3.8%.
  • Funnel plot analysis of 177 hospitals identified 5.1% outliers for fixation procedures, indicating room for quality improvement in management strategies.

Cite This Study

Aryaie et al. (2025) studied this question.

synapsesocial.com/papers/68c239e5b210217d6477eb40https://doi.org/10.1302/2633-1462.69.bjo-2025-0050.r1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Predictors of short-term outcomes after postoperative periprosthetic femoral fracture2025
  2. 2Outcome of Surgical Fixation of Interprosthetic Femur Fractures: A Case Series in a District General Hospital2025
  3. 3To Analyze the Outcomes of Various Methods of Treatment of Periprosthetic Fracture Following Hip Arthroplasty- A Retrospective Study to Form the Optimal Treatment Guidelines2023
  4. 4Pre- and postfracture patient-reported outcomes for patients undergoing periprosthetic femoral fractures after primary total hip arthroplasty—An observational study2025
  5. 5The Correlation of Surgeon Subspecialty With Outcomes Following Surgery for Geriatric Femoral Neck Fracture2025