{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T17:41:20Z","timestamp":1793814080598,"version":"4.6.1"},"reference-count":23,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2022,6,15]],"date-time":"2022-06-15T00:00:00Z","timestamp":1655251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Mortality following revision hip surgery for periprosthetic fracture (PPF) is comparable to neck of femur fractures. Our institution provides a regional \u201cPPF Service\u201d. The aim of this study was to determine the time to surgery and mortality rate for PPF, compared to revision for infection or aseptic loosening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Revision arthroplasty procedures performed for PPF, infection or aseptic loosening between January 2014 and December 2015 were identified. Comparisons were made between the 3 groups for baseline demographics, admission to higher-level care, length of stay, complications and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were 37 PPF, 71 infected and 221 aseptic revisions. PPF had a higher proportion of females (65% vs. 39% in infection and 53% in aseptic; p\u2009=\u20090.031) and grade 3 and 4 ASA patients ( p\u2009=\u20090.006). Median time to surgery for PPF was 8\u2009days (95% CI, 6\u201316). Single-stage procedures were performed in 84% of PPF, 42% of infections and 99% of aseptic revisions ( p\u2009&lt;\u20090.001). 19% of PPF revisions required HDU admission, 1% in the aseptic group and none in the infection group. Median length of stay was significantly different (PPF 10; infection 14; aseptic 8\u2009days ( p\u2009&lt;\u20090.001). The 1-year mortality rate for PPF was 0%, 2.8% for infection and 0.9% in the aseptic group ( p\u2009=\u20090.342).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Despite the PPF group having higher ASA grades and more HDU admissions, our 1-year mortality rate was 0% and not significantly different to infection or aseptic loosening. Our low complication and 1-year mortality rate is encouraging and supports the safety of a regional \u201cPeriprosthetic Fracture Service\u201d.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11207000221104184","type":"journal-article","created":{"date-parts":[[2022,6,16]],"date-time":"2022-06-16T00:16:57Z","timestamp":1655338617000},"page":"1049-1055","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["A comparison of mortality rates following revision hip arthroplasty for periprosthetic fracture, infection or aseptic loosening"],"prefix":"10.1177","volume":"33","author":[{"given":"Jonathan A","family":"Barrow","sequence":"first","affiliation":[{"name":"Centre for Hip Surgery, Wrightington Hospital, Wigan, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiren M","family":"Divecha","sequence":"additional","affiliation":[{"name":"Centre for Hip Surgery, Wrightington Hospital, Wigan, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham R","family":"Hastie","sequence":"additional","affiliation":[{"name":"Centre for Hip Surgery, Wrightington Hospital, Wigan, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"Wynn Jones","sequence":"additional","affiliation":[{"name":"Centre for Hip Surgery, Wrightington Hospital, Wigan, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim N","family":"Board","sequence":"additional","affiliation":[{"name":"Centre for Hip Surgery, Wrightington Hospital, Wigan, 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