Gausden EB, Cross WW, Mabry TM, et al. - In selected active, elderly patients, superior functional outcomes are reported in correlation with performing total hip arthroplasty (THA) vs hemiarthroplasty for femoral neck fracture (FNF), however, the historical tradeoff has been higher risk of complications including dislocation. Researchers sought to report implant survivorship and reasons for failure after THA for FNFs. From their institutional total joint registry, 217 FNFs treated with THA were identified from 2000-2017 (during the same time period, they identified 2,039 FNFs treated with hemiarthroplasty). For any revision after THA for FNFs, the 5-year cumulative incidence of 8% was reported. This was mostly attributed to periprosthetic fracture and infection. With contemporary patient selection, techniques, and implants, hip instability was not as common after FNF relative to previous series.