This blog is the final installment in a three-part series reporting on orthopaedic studies presented at the 2019 American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting and utilizing American Joint Replacement Registry (AJRR) registry data. All presentations are reported by Terry Stanton, senior science writer for AAOS Now.
Paper 878, “Correlation of Perioperative Periprosthetic Femur Fractures with Fixation Method” was presented by Bryan D. Springer, MD, vice chair of AJRR, on Friday, March 15, 2019 at the AAOS Annual Meeting in Las Vegas, Nevada. The study evaluated data from the AJRR over a five-year period and analyzed the relationship between femoral stem fixation and perioperative periprosthetic femur fracture (PPFx) requiring early revision total hip arthroplasty (THA) surgery. Analyses determined that cementless femoral fixation accounted for 93 percent of stems with early PPF. Dr. Springer said that patients with cementless stems were 2.6 times more likely to undergo early revision for PPF than those with cemented fixation, although the number of cemented stems in the analyzed population was small, making that finding not statistically significant.