Research

Hip Fracture Management and Outcomes

Advancing Recovery and Safety in Geriatric Trauma

Hip fractures are among the most serious injuries affecting older adults and is considered the orthopaedic equivalent of a “heart attack”.

Dr. Arshi’s research focuses on improving surgical outcomes, reducing complications, and optimizing recovery pathways after hip fracture.

His studies examine how surgical timing, operative technique, perioperative management, and hospital-based programs influence recovery, survival, and quality of life. This work helps define evidence-based standards for multidisciplinary care, ensuring safer treatment and faster return to independence.

Research Focus and Key Themes

• Timely surgery and optimization: How delays, perioperative anemia, and medical risk factors affect mortality and complications.
• Fixation vs arthroplasty strategies: When internal fixation or hip replacement provides the best outcomes for femoral-neck fractures.
• Operative approach and implant selection: Comparing anterior vs posterior approaches and implant choices in hip hemiarthroplasty.
• Standardized care pathways: Evaluating hospital protocols and multidisciplinary programs that improve consistency and shorten recovery.
• Postacute care and rehabilitation: Understanding how discharge destination and rehabilitation access shape long-term results.

Representative Publications

1. Habibi AA, Brash A, Rozell JC, Ganta A, Schwarzkopf R, Arshi A.
   Aspirin prophylaxis is not associated with increased risk of venous thromboembolism in arthroplasty for femoral neck fractures: a non-inferiority study.
   Eur J Orthop Surg Traumatol. 2024; 34(3): 1405–1411. PMID: 38197969
2. Magnuson JA, Griffin SA, D’Amore T, Hughes AJ, Sherman MB, Arshi A, Krueger CA.
   Mortality and complications following early conversion arthroplasty for failed hip fracture surgery.
   J Arthroplasty. 2023; 38(5): 843–848. PMID: 36496047
3. Khan IA, Magnuson JA, Arshi A, Krueger CA, Freedman KB, Fillingham YA.
   Direct anterior approach in hip hemiarthroplasty for femoral neck fractures: do outcomes differ with approach? A systematic review and meta-analysis.
   JBJS Rev. 2022; 10(9). PMID: 36053029
4. Arshi A, Su LD, Lee C, Sassoon AA, Zeegen EN, Stavrakis AI.
   Comparison of complication profiles for femoral neck, intertrochanteric, and subtrochanteric geriatric hip fractures.
   Arch Orthop Trauma Surg. 2023; 143(1): 49–54. PMID: 34110476
5. Arshi A, Lai WC, Iglesias BC, McPherson EJ, Zeegen EN, Stavrakis AI, Sassoon AA.
   Blood transfusion rates and predictors following operative fixation of geriatric hip fractures.
   Hip Int. 2021; 31(2): 272–279. PMID: 31912747d
6. Arshi A, Iglesias BC, Zambrana LE, Lai WC, Zeegen EN, Sassoon AA, Stavrakis AI.
   Postacute care utilization in postsurgical orthogeriatric hip fracture care.
   J Am Acad Orthop Surg. 2020; 28(18): 743–749. PMID: 31764201
7. Arshi A, Rezzadeh K, Stavrakis AI, Bukata SV, Zeegen EN.
   Standardized hospital-based care programs improve geriatric hip fracture outcomes: an analysis of the ACS-NSQIP targeted hip fracture series.
   J Orthop Trauma. 2019; 33(6): e223–e228. PMID: 30702503
8. Arshi A, Lai WC, Chen JB, Bukata SV, Stavrakis AI, Zeegen EN.
   Predictors and sequelae of postoperative delirium in geriatric hip fracture patients.
   Geriatr Orthop Surg Rehabil. 2018; 9: 2151459318814823. PMID: 30619641

Journals Featuring Dr. Arshi’s Work

• Journal of Arthroplasty
• Journal of Orthopaedic Trauma
• Journal of Bone and Joint Surgery
• Hip International
• Geriatric Orthopaedic Surgery and Rehabilitation
• Journal of the American Academy of Orthopaedic Surgeons

Translational Impact

Dr. Arshi’s research provides data-driven insight into the care of older patients after hip fracture. His findings demonstrate how prompt surgery, evidence-based transfusion thresholds, and standardized hospital protocols improve recovery and reduce complications. These studies continue to guide hospitals and clinicians toward safer, more coordinated, and patient-centered fracture care.

Full Publication List

For a complete and up-to-date list of Dr. Arshi’s publications, please visit his PubMed profile here.

Explore More Research

Dr. Arshi’s work on return to sport is just one aspect of his broader research portfolio in hip and knee replacement surgery.
Explore all research focus areas