{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T22:02:09Z","timestamp":1789509729797,"version":"build-2803163510"},"reference-count":24,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"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":[[2026,8]]},"DOI":"10.1016\/j.arth.2026.08.037","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T23:37:21Z","timestamp":1787614641000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Collared, Uncemented Stems Markedly Reduce Periprosthetic Femoral Fracture Risk in Women \u2265 70 Years: A Swiss National Registry Study"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0580-7455","authenticated-orcid":false,"given":"Andreas","family":"Ladurner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Kramer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karlmeinrad","family":"Giesinger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vilijam","family":"Zdravkovic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2026.08.037_bib1","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1016\/j.arth.2023.12.024","article-title":"Cemented versus cementless femoral fixation for total hip arthroplasty following osteoarthritis","volume":"39","author":"Moore","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.08.037_bib2","series-title":"SIRIS report 2024 - Annual Report of the Swiss National Joint Registry, Hip and Knee","author":"Beck","year":"2024"},{"key":"10.1016\/j.arth.2026.08.037_bib3","series-title":"Hip, Knee and Shoulder Arthroplasty: 2023 Annual Report, Australian Orthopaedic Association National Joint Replacement Registry","author":"Smith","year":"2023"},{"key":"10.1016\/j.arth.2026.08.037_bib4","doi-asserted-by":"crossref","first-page":"S351","DOI":"10.1016\/j.arth.2023.04.039","article-title":"Cemented femoral fixation in total hip arthroplasty reduces the risk of periprosthetic femur fracture in patients 65 years and older: an analysis from the American joint replacement registry","volume":"38","author":"Kelly","year":"2023","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.08.037_bib5","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.2106\/JBJS.21.00853","article-title":"Revisiting cemented femoral fixation in hip arthroplasty","volume":"104","author":"Khanuja","year":"2022","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2026.08.037_bib6","doi-asserted-by":"crossref","first-page":"130","DOI":"10.2340\/17453674.2024.40073","article-title":"Promoting cemented fixation of the femoral stem in elderly female hip arthroplasty patients and elderly hip fracture patients: a retrospective cohort study from the Norwegian Arthroplasty Register and the Norwegian Hip Fracture Register","volume":"95","author":"Gjertsen","year":"2024","journal-title":"Acta Orthop"},{"key":"10.1016\/j.arth.2026.08.037_bib7","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1080\/17453674.2019.1682851","article-title":"Fixation, sex, and age: highest risk of revision for uncemented stems in elderly women \u2014 data from 66,995 primary total hip arthroplasties in the Norwegian Arthroplasty Register","volume":"91","author":"Dale","year":"2020","journal-title":"Acta Orthop"},{"key":"10.1016\/j.arth.2026.08.037_bib8","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.arth.2023.08.035","article-title":"Sex-Specific implant fixation can reduce revision rates in total hip arthroplasty: evidence from the Swiss national joint registry","volume":"39","author":"Ladurner","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.08.037_bib9","doi-asserted-by":"crossref","first-page":"S250","DOI":"10.1016\/j.arth.2025.02.008","article-title":"Cementless versus cemented stems in patients aged 70 years or older undergoing total hip arthroplasty","volume":"40","author":"Rocha","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.08.037_bib10","doi-asserted-by":"crossref","first-page":"476","DOI":"10.2106\/JBJS.24.00894","article-title":"The risk of postoperative periprosthetic femoral fracture after total hip arthroplasty depends more on stem design than cement use: an analysis of national health data from England","volume":"107","author":"Lamb","year":"2025","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2026.08.037_bib11","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1016\/j.arth.2024.10.028","article-title":"Does femoral stem design influence periprosthetic fracture incidence and morphology in total hip arthroplasty?","volume":"40","author":"Cochrane","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.08.037_bib12","doi-asserted-by":"crossref","first-page":"1485","DOI":"10.1097\/CORR.0000000000002985","article-title":"Femoral component design is associated with the risk of periprosthetic femur fracture after cementless THA in patients 65 years or older","volume":"482","author":"Kelly","year":"2024","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2026.08.037_bib13","doi-asserted-by":"crossref","DOI":"10.1016\/j.otsr.2025.104293","article-title":"Outcomes of collared uncemented stems in total hip arthroplasty for primary osteoarthritis: a Swiss National joint registry analysis","volume":"111","author":"Hamoudi","year":"2025","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.arth.2026.08.037_bib14","doi-asserted-by":"crossref","first-page":"2169","DOI":"10.1097\/CORR.0000000000001940","article-title":"How does implant survivorship vary with different corail femoral stem variants? Results of 51,212 cases with up to 30 years of Follow-up from the Norwegian arthroplasty register","volume":"479","author":"Melbye","year":"2021","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2026.08.037_bib15","doi-asserted-by":"crossref","first-page":"S278","DOI":"10.1016\/j.arth.2025.04.033","article-title":"Decreased revision risk with cementless collared metadiaphyseal-filling stems compared to cemented fixation in patients 65 years and older","volume":"40","author":"Kelly","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.08.037_bib16","doi-asserted-by":"crossref","first-page":"S252","DOI":"10.1016\/j.arth.2026.03.044","article-title":"Collared cementless stems show equivalent rates of periprosthetic fractures compared to collarless cemented stems in an exclusively elderly cohort of patients","volume":"41","author":"Kim","year":"2026","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.08.037_bib17","doi-asserted-by":"crossref","DOI":"10.1016\/j.clinbiomech.2025.106671","article-title":"How does the collar in cementless hip stems work? Comparison of the strain distribution in the cortex of the proximal femur","volume":"130","author":"Brand","year":"2025","journal-title":"Clin Biomech (Bristol, Avon)"},{"key":"10.1016\/j.arth.2026.08.037_bib18","doi-asserted-by":"crossref","first-page":"2445","DOI":"10.1111\/os.70110","article-title":"Total hip arthroplasty stems and femur strain during implant insertion: a biomechanical Study of single taper, double taper, and collared monolithic stems","volume":"17","author":"Torre","year":"2025","journal-title":"Orthop Surg"},{"key":"10.1016\/j.arth.2026.08.037_bib19","doi-asserted-by":"crossref","DOI":"10.1016\/j.artd.2023.101140","article-title":"Primary stability of collared and collarless cementless femoral stems - a finite element analysis study","volume":"21","author":"Watanabe","year":"2023","journal-title":"Arthroplast Today"},{"key":"10.1016\/j.arth.2026.08.037_bib20","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1111\/ans.16611","article-title":"Periprosthetic fractures of the femur in primary total hip arthroplasty: a New Zealand Joint Registry analysis","volume":"91","author":"Stringer","year":"2021","journal-title":"ANZ J Surg"},{"key":"10.1016\/j.arth.2026.08.037_bib21","doi-asserted-by":"crossref","DOI":"10.1080\/07853890.2025.2494679","article-title":"Risk factors for periprosthetic femoral fractures following hip arthroplasty: a systematic review and meta-analysis","volume":"57","author":"Zhao","year":"2025","journal-title":"Ann Med"},{"key":"10.1016\/j.arth.2026.08.037_bib22","doi-asserted-by":"crossref","first-page":"169","DOI":"10.2106\/JBJS.O.00430","article-title":"Effect of body mass index on complications and reoperations after total hip arthroplasty","volume":"98","author":"Wagner","year":"2016","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2026.08.037_bib23","doi-asserted-by":"crossref","first-page":"2287","DOI":"10.1016\/j.arth.2018.02.036","article-title":"Obesity increases the risk of postoperative complications and revision rates following primary total hip arthroplasty: an analysis of 131,576 total hip arthroplasty cases","volume":"33","author":"Jeschke","year":"2018","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.08.037_bib24","first-page":"9","article-title":"The weight of complications: high and low BMI have disparate modes of failure in total hip arthroplasty","volume":"6","author":"Schmerler","year":"2024","journal-title":"Arthroplasty (London, England)"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326009009?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326009009?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T21:04:47Z","timestamp":1789506287000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540326009009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":24,"alternative-id":["S0883540326009009"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2026.08.037","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Collared, Uncemented Stems Markedly Reduce Periprosthetic Femoral Fracture Risk in Women \u2265 70 Years: A Swiss National Registry Study","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2026.08.037","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}