Schwarz J, Lygrisse K, Roof M, et al. - The present study was conducted to examine modes of failure over time following index total hip arthroplasty (THA) to identify risk factors for early revision. Researchers distinguished 208 aseptic femoral revision THAs performed between February 2011 and July 2019 using an institutional database. Demographics, diagnoses, complications, and resource utilization were compared between aseptic femoral revision THA occurring within 90 days (early), 91 days to 2 years (mid), and greater than 2 years (late) after index arthroplasty. The results showed that in older women, early aseptic femoral revisions largely occur with uncemented primary implants and primarily due to periprosthetic fractures. The findings reveal that decreasing the incidence of periprosthetic fractures is critical to decreasing the large healthcare utilization of early revisions.