International Orthopaedics

, Volume 27, Issue 6, pp 359–361 | Cite as

Periprosthetic fractures in total hip arthroplasty: an epidemiologic study

  • Roope Sarvilinna
  • Heini S. A. Huhtala
  • Timo J. S. Puolakka
  • Juha K. Nevalainen
  • K. Jorma J. PajamäkiEmail author
Original Paper


This study was based on data from the Finnish Arthroplasty Register. From 1990 to 1999, 33,154 primary hip arthroplasties were performed in Finland. Only periprosthetic fractures treated by a revision arthroplasty were registered. The six most used femoral components were compared using survival analysis and Cox's regression model. The incidence of periprosthetic fractures was calculated separately for the years 1990–1994 and 1995–1999. The incidence in the first period was greater than in the latter. Survival analysis and Cox's regression model showed that gender, prosthesis type and age were of no significance as risk factors for periprosthetic fractures.


Revision Operation Femoral Component Periprosthetic Fracture Revision Arthroplasty Prosthesis Type 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Cette étude a été basée sur les données du Registre finlandais des Arthroplasties. De 1990 à 1999 33.154 arthroplasties totales de la hanche ont été exécutées en Finlande. Seulement les fractures periprothétiques traitées par une arthroplastie de révision ont été enregistrées. Les six composants fémoraux le plus utilisés ont été comparés en utilisant l' analyse de la survie et le modèle de régression de Cox. La fréquence des fractures périprothetiques a été calculée séparément pour les années 1990–1994 et 1995 –1999 et elle était plus élevée dans la première période que dans la deuxième. L'analyse de la survie et le modèle de Cox ont montré que le sexe, le type de prothèse et l'âge n'étaient d'aucune signification comme facteur de risque pour ces fractures périprotèthiques.



The authors thank Anu Hirvonen, secretary of the Finnish Arthroplasty Register, and Kirsti Kotaniemi, lawyer with the National Agency for Medicines.


  1. 1.
    Beals RK, Tower SS (1996) Periprosthetic fractures of the femur. Clin Orthop 327:238–246PubMedGoogle Scholar
  2. 2.
    Dobbs HS (1980) Survivorship of total hip replacements. J Bone Joint Surg [Br] 62:168–173Google Scholar
  3. 3.
    Dorey F, Amtutz H (1989) Validity of survivorship analysis in total joint arthroplasty. J Bone Joint Surg [Am] 71:544–548Google Scholar
  4. 4.
    Johnsson R, Franzen H, Nilsson LT (1994) Combined survivorship and multivariate analyses of revisions in 799 hip prostheses. A 10–20 year review of mechanical loosening. J Bone Joint Surg [Br] 76:439–443Google Scholar
  5. 5.
    Kaplan EL, Meier P (1958) Nonparametric estimation from incomplete obsevations. J Am Assoc 53:457–481Google Scholar
  6. 6.
    Lewallen DG, Berry DJ (1997) Periprosthetic fracture of the femur after total hip arthroplasty. J Bone Joint Surg [Am] 79:1881–1890Google Scholar
  7. 7.
    McLauchlan GJ, Robinson CM, Singer BR, Christie J (1997) Results of an operative policy in the treatment of periprosthetic femoral fracture. J Orthop Trauma 11:170–179CrossRefPubMedGoogle Scholar
  8. 8.
    Nevalainen J, Hirvonen A, Pulkkinen P (1997) The implant yearbook on orthopedic prostheses. Publication of the National Agency for Medicines, HelsinkiGoogle Scholar
  9. 9.
    Puolakka TJS, Pajamäki J, Pulkkinen P, Nevalainen J (1997) Cementless Biomet total hip prosthesis in the treatment of osteoarthrosis. Publication of the Finnish National Agency for Medicines, HelsinkiGoogle Scholar
  10. 10.
    Puolakka TJS, Pajamäki KJJ, Halonen PJ, Pulkkinen PO, Paavolainen P, Nevalainen JK (2001) The Finnish Arthroplasty Register. Report of the hip register. Acta Orthop Scand 72:433–441Google Scholar
  11. 11.
    Schwartz JT Jr, Mayer JG, Engh CA (1989) Femoral fracture during non-cemented total hip arthroplasty. J Bone Joint Surg [Am] 71:1135–1142Google Scholar
  12. 12.
    Tower SS, Beals RK (1999) Fractures of the femur after hip replacement. Orthop Clin North Am 30:235–247PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • Roope Sarvilinna
    • 1
  • Heini S. A. Huhtala
    • 2
  • Timo J. S. Puolakka
    • 3
  • Juha K. Nevalainen
    • 4
  • K. Jorma J. Pajamäki
    • 3
    Email author
  1. 1.Medical SchoolUniversity of TampereTampereFinland
  2. 2.School of Public HealthUniversity of TampereFinland
  3. 3.COXAHospital for Joint ReplacementTampereFinland
  4. 4.Medical Devices CentreNational Agency for MedicinesHelsinkiFinland

Personalised recommendations