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is study is the first of its kind to be reported in the literature. Early periprosthetic fractures (PPFx) following primary total hip arthroplasty (THA) create significant morbidity. Established risk factors for early PPFx include age, gender, body mass index, surgical approach, and implant fixation. We investigated the role of femoral fixation on early PPFx (90 days postoperatively) in a high-risk cohort undergoing direct anterior approach (DAA) THA. The final cohort comprised 344 consecutive patients (390 hips) with risk factors
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