{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T20:14:11Z","timestamp":1788380051055,"version":"build-2803163510"},"reference-count":51,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["arthroplastyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.arth.2025.08.069","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T06:10:40Z","timestamp":1756707040000},"page":"1235-1240","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Risk Factors for Periprosthetic Fractures Following Total Hip Arthroplasty in Patients Younger Than 50 Years"],"prefix":"10.1016","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2812-4884","authenticated-orcid":false,"given":"Eric","family":"Cui","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackson W.","family":"Durbin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Fealy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip M.","family":"Parel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Ranson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore","family":"Quan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Gill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amil","family":"Agarwal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giselle","family":"Gomez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandesh","family":"Rao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Savyasachi C.","family":"Thakkar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2025.08.069_bib1","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.artd.2022.05.012","article-title":"A scoping review of total hip arthroplasty survival and reoperation rates in patients of 55 years or younger: health services implications for revision surgeries","volume":"16","author":"Negm","year":"2022","journal-title":"Arthroplast Today"},{"key":"10.1016\/j.arth.2025.08.069_bib2","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1054\/arth.2003.50109","article-title":"Periprosthetic fractures associated with osteolysis: a problem on the rise","volume":"18","author":"Berry","year":"2003","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.08.069_bib3","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/S0030-5898(05)70073-0","article-title":"Epidemiology: hip and knee","volume":"30","author":"Berry","year":"1999","journal-title":"Orthop Clin North Am"},{"key":"10.1016\/j.arth.2025.08.069_bib4","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1615\/JLongTermEffMedImplants.2015012625","article-title":"Incidence and future projections of periprosthetic femoral fracture following primary total hip arthroplasty: an analysis of international registry data","volume":"25","author":"Pivec","year":"2015","journal-title":"J Long Term Eff Med Implants"},{"key":"10.1016\/j.arth.2025.08.069_bib5","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1302\/2633-1462.28.BJO-2021-0092.R1","article-title":"Outcome and complications following revision shoulder arthroplasty : a systematic review and meta-analysis","volume":"2","author":"Ravi","year":"2021","journal-title":"Bone Jt Open"},{"key":"10.1016\/j.arth.2025.08.069_bib6","doi-asserted-by":"crossref","first-page":"S439","DOI":"10.1016\/j.arth.2022.03.012","article-title":"The economic impact of lower extremity periprosthetic fractures in a large hospital system","volume":"37","author":"Crutcher","year":"2022","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.08.069_bib7","doi-asserted-by":"crossref","first-page":"2492","DOI":"10.1016\/j.jseint.2023.08.001","article-title":"Comparison of trends of inpatient charges among primary and revision shoulder arthroplasty over a decade: a regional database study","volume":"7","author":"Simcox","year":"2023","journal-title":"JSES Int"},{"key":"10.1016\/j.arth.2025.08.069_bib8","article-title":"Prevalence of shoulder arthroplasty in the United States and the increasing burden of revision shoulder arthroplasty","volume":"6","author":"Farley","year":"2021","journal-title":"JB JS Open Access"},{"key":"10.1016\/j.arth.2025.08.069_bib9","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1177\/1457496914543979","article-title":"Risk factors for the periprosthetic fracture after total hip arthroplasty: a systematic review and meta-analysis","volume":"104","author":"Zhu","year":"2015","journal-title":"Scand J Surg"},{"key":"10.1016\/j.arth.2025.08.069_bib10","doi-asserted-by":"crossref","first-page":"3065","DOI":"10.1016\/j.arth.2019.06.062","article-title":"Risk factors for intraoperative periprosthetic femoral fractures during primary total hip arthroplasty. An analysis from the national joint registry for England and Wales and the Isle of Man","volume":"34","author":"Lamb","year":"2019","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.08.069_bib11","doi-asserted-by":"crossref","first-page":"1652","DOI":"10.1007\/s11999-008-0289-1","article-title":"Risk factors for periprosthetic fractures of the hip: a survivorship analysis","volume":"466","author":"Cook","year":"2008","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2025.08.069_bib12","doi-asserted-by":"crossref","first-page":"S2","DOI":"10.1016\/j.arth.2023.03.031","article-title":"Frank stinchfield award: creation of a patient-specific total hip arthroplasty periprosthetic fracture risk calculator","volume":"38","author":"Wyles","year":"2023","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.08.069_bib13","doi-asserted-by":"crossref","first-page":"359","DOI":"10.2165\/00002018-200831050-00001","article-title":"Chemotherapy-associated osteonecrosis in cancer patients with solid tumours: a systematic review","volume":"31","author":"Shim","year":"2008","journal-title":"Drug Saf"},{"key":"10.1016\/j.arth.2025.08.069_bib14","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.ctrv.2018.06.007","article-title":"Medication-related osteonecrosis of the jaw: prevention, diagnosis and management in patients with cancer and bone metastases","volume":"69","author":"Otto","year":"2018","journal-title":"Cancer Treat Rev"},{"key":"10.1016\/j.arth.2025.08.069_bib15","first-page":"116","article-title":"Prevention and treatment of bone fragility in cancer patient","volume":"12","author":"Ottanelli","year":"2015","journal-title":"Clin Cases Miner Bone Metab"},{"key":"10.1016\/j.arth.2025.08.069_bib16","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1007\/s00223-017-0369-x","article-title":"Cancer treatment and bone health","volume":"102","author":"Handforth","year":"2018","journal-title":"Calcif Tissue Int"},{"key":"10.1016\/j.arth.2025.08.069_bib17","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.drugalcdep.2019.01.025","article-title":"The effect of alcohol on osteoporosis: a systematic review and meta-analysis","volume":"197","author":"Cheraghi","year":"2019","journal-title":"Drug Alcohol Depend"},{"key":"10.1016\/j.arth.2025.08.069_bib18","article-title":"Exercise effects on glucocorticoid-induced bone loss in adults: a systematic review and meta-analysis","volume":"7","author":"Kast","year":"2023","journal-title":"Rheumatol Adv Pract"},{"key":"10.1016\/j.arth.2025.08.069_bib19","doi-asserted-by":"crossref","first-page":"177","DOI":"10.2147\/OARRR.S282606","article-title":"Understanding and managing corticosteroid-induced osteoporosis","volume":"13","author":"Kobza","year":"2021","journal-title":"Open Access Rheumatol"},{"key":"10.1016\/j.arth.2025.08.069_bib20","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1111\/j.1540-8159.2012.03443.x","article-title":"Atrial fibrillation: an independent risk factor for nonaccidental falls in older patients","volume":"35","author":"Sanders","year":"2012","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.arth.2025.08.069_bib21","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.ijcard.2017.05.012","article-title":"Atrial fibrillation and risk of hip fracture: a population-based analysis of 113,600 individuals","volume":"243","author":"Wong","year":"2017","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.arth.2025.08.069_bib22","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1111\/ans.15460","article-title":"Association between atrial fibrillation and hip fractures and the implications for hip fracture patients: a systematic review","volume":"90","author":"Abu-Assi","year":"2020","journal-title":"ANZ J Surg"},{"key":"10.1016\/j.arth.2025.08.069_bib23","first-page":"455","article-title":"Electrocardiographic abnormalities in patients admitted for hip fracture","volume":"72","author":"Jansen","year":"2014","journal-title":"Neth J Med"},{"key":"10.1016\/j.arth.2025.08.069_bib24","doi-asserted-by":"crossref","first-page":"238","DOI":"10.9758\/cpn.2016.14.3.238","article-title":"Effects of antipsychotics on bone mineral density in patients with schizophrenia: gender differences","volume":"14","author":"Chen","year":"2016","journal-title":"Clin Psychopharmacol Neurosci"},{"key":"10.1016\/j.arth.2025.08.069_bib25","doi-asserted-by":"crossref","DOI":"10.3389\/fcell.2023.1184550","article-title":"Antipsychotic-induced bone loss: the role of dopamine, serotonin and adrenergic receptor signalling","volume":"11","author":"Weerasinghe","year":"2023","journal-title":"Front Cell Dev Biol"},{"key":"10.1016\/j.arth.2025.08.069_bib26","doi-asserted-by":"crossref","first-page":"2667","DOI":"10.1111\/epi.17733","article-title":"Both epilepsy and anti-seizure medications affect bone metabolism in children with self-limited epilepsy with centrotemporal spikes","volume":"64","author":"Shi","year":"2023","journal-title":"Epilepsia"},{"key":"10.1016\/j.arth.2025.08.069_bib27","doi-asserted-by":"crossref","first-page":"212","DOI":"10.15288\/jsa.1987.48.212","article-title":"Alcohol as a risk factor for injury or death resulting from accidental falls: a review of the literature","volume":"48","author":"Hingson","year":"1987","journal-title":"J Stud Alcohol"},{"key":"10.1016\/j.arth.2025.08.069_bib28","doi-asserted-by":"crossref","DOI":"10.1155\/2020\/8852690","article-title":"Association between bone mineral density and severity of chronic kidney disease","volume":"2020","author":"Huang","year":"2020","journal-title":"Int J Endocrinol"},{"key":"10.1016\/j.arth.2025.08.069_bib29","doi-asserted-by":"crossref","first-page":"4443","DOI":"10.1007\/s00018-017-2585-y","article-title":"Cellular and molecular mechanisms of alcohol-induced osteopenia","volume":"74","author":"Luo","year":"2017","journal-title":"Cell Mol Life Sci"},{"key":"10.1016\/j.arth.2025.08.069_bib30","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00198-011-1787-7","article-title":"Alcohol and bone: review of dose effects and mechanisms","volume":"23","author":"Maurel","year":"2012","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.arth.2025.08.069_bib31","doi-asserted-by":"crossref","first-page":"2077","DOI":"10.1097\/01.alc.0000192039.21305.55","article-title":"Alcohol-induced bone loss and deficient bone repair","volume":"29","author":"Chakkalakal","year":"2005","journal-title":"Alcohol Clin Exp Res"},{"key":"10.1016\/j.arth.2025.08.069_bib32","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1007\/s00198-014-2879-y","article-title":"Alcohol consumption and hip fracture risk","volume":"26","author":"Zhang","year":"2015","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.arth.2025.08.069_bib33","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1007\/s00198-006-0287-7","article-title":"Alcohol consumption, bone density, and hip fracture among older adults: the cardiovascular health study","volume":"18","author":"Mukamal","year":"2007","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.arth.2025.08.069_bib34","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1136\/pgmj.62.725.187","article-title":"Record linkage study of hypokalaemia in hospitalized patients","volume":"62","author":"Paice","year":"1986","journal-title":"Postgrad Med J"},{"key":"10.1016\/j.arth.2025.08.069_bib35","doi-asserted-by":"crossref","DOI":"10.1016\/j.artd.2022.101093","article-title":"Preoperative malnutrition and metabolic markers may predict periprosthetic fractures in total hip arthroplasty","volume":"19","author":"Lung","year":"2023","journal-title":"Arthroplast Today"},{"key":"10.1016\/j.arth.2025.08.069_bib36","doi-asserted-by":"crossref","first-page":"275","DOI":"10.2215\/CJN.06120809","article-title":"Hyponatremia independent of osteoporosis is associated with fracture occurrence","volume":"5","author":"Kinsella","year":"2010","journal-title":"Clin J Am Soc Nephrol"},{"key":"10.1016\/j.arth.2025.08.069_bib37","doi-asserted-by":"crossref","first-page":"789","DOI":"10.5301\/jn.5000064","article-title":"The correlation of hip fracture and hyponatremia in the elderly","volume":"25","author":"Tolouian","year":"2012","journal-title":"J Nephrol"},{"key":"10.1016\/j.arth.2025.08.069_bib38","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1007\/s11255-009-9585-2","article-title":"Hyponatremia associated with large-bone fracture in elderly patients","volume":"41","author":"Sandhu","year":"2009","journal-title":"Int Urol Nephrol"},{"key":"10.1016\/j.arth.2025.08.069_bib39","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1093\/qjmed\/hcn061","article-title":"Mild hyponatremia and risk of fracture in the ambulatory elderly","volume":"101","author":"Gankam Kengne","year":"2008","journal-title":"QJM"},{"key":"10.1016\/j.arth.2025.08.069_bib40","doi-asserted-by":"crossref","first-page":"1822","DOI":"10.1002\/jbmr.380","article-title":"Mild hyponatremia as a risk factor for fractures: the rotterdam study","volume":"26","author":"Hoorn","year":"2011","journal-title":"J Bone Miner Res"},{"key":"10.1016\/j.arth.2025.08.069_bib41","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1038\/ejcn.2014.195","article-title":"Hyponatremia and hypokalemia as risk factors for falls","volume":"69","author":"Tachi","year":"2015","journal-title":"Eur J Clin Nutr"},{"key":"10.1016\/j.arth.2025.08.069_bib42","doi-asserted-by":"crossref","first-page":"231","DOI":"10.5371\/hp.2021.33.4.231","article-title":"The association of alcohol use disorder with perioperative complications following primary total hip arthroplasty","volume":"33","author":"Horn","year":"2021","journal-title":"Hip Pelvis"},{"key":"10.1016\/j.arth.2025.08.069_bib43","doi-asserted-by":"crossref","first-page":"3534","DOI":"10.1016\/j.arth.2021.05.039","article-title":"Total hip arthroplasty in patients with cerebral palsy: a matched comparison of 90-Day adverse events and 5-Year implant survival","volume":"36","author":"Moore","year":"2021","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.08.069_bib44","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1302\/2058-5241.6.200050","article-title":"Periprosthetic hip fractures: an update into their management and clinical outcomes","volume":"6","author":"Patsiogiannis","year":"2021","journal-title":"EFORT Open Rev"},{"key":"10.1016\/j.arth.2025.08.069_bib45","article-title":"Should age be a factor in treatment choice of periprosthetic Vancouver B2-B3 proximal femur fractures? A retrospective analysis of mortality and functional outcomes in elderly patients","volume":"92","author":"Canton","year":"2022","journal-title":"Acta Biomed"},{"key":"10.1016\/j.arth.2025.08.069_bib46","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1302\/2633-1462.49.BJO-2023-0065.R1","article-title":"Characteristics and risk factors of UCS fracture subtypes in periprosthetic fractures around the hip","volume":"4","author":"Nasser","year":"2023","journal-title":"Bone Jt Open"},{"key":"10.1016\/j.arth.2025.08.069_bib47","first-page":"557","article-title":"[the risk factors of periprosthetic fracture after hip arthroplasty:a meta-analysis]","volume":"32","author":"Lu","year":"2019","journal-title":"Zhongguo Gu Shang"},{"key":"10.1016\/j.arth.2025.08.069_bib48","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s13018-020-02152-0","article-title":"Factors affecting the incidence of postoperative periprosthetic fractures following primary and revision hip arthroplasty: a systematic review and meta-analysis","volume":"16","author":"Bissias","year":"2021","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.arth.2025.08.069_bib49","doi-asserted-by":"crossref","first-page":"2023","DOI":"10.1016\/j.arth.2017.01.019","article-title":"The effect of prophylactic cerclage wires in primary total hip arthroplasty: a biomechanical study","volume":"32","author":"Owen","year":"2017","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.08.069_bib50","doi-asserted-by":"crossref","first-page":"1927","DOI":"10.1007\/s00590-023-03830-5","article-title":"Periprosthetic fracture following arthroplasty for femoral neck fracture: is a cemented stem protective?","volume":"34","author":"Esper","year":"2024","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.arth.2025.08.069_bib51","doi-asserted-by":"crossref","first-page":"S464","DOI":"10.1016\/j.arth.2024.02.039","article-title":"Outcomes following intraoperative calcar fractures during cementless total hip arthroplasty","volume":"39","author":"Wilson","year":"2024","journal-title":"J Arthroplasty"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540325011398?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540325011398?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T19:31:58Z","timestamp":1774294318000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540325011398"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":51,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S0883540325011398"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2025.08.069","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Risk Factors for Periprosthetic Fractures Following Total Hip Arthroplasty in Patients Younger Than 50 Years","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2025.08.069","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}