Do 'Surgeon Champions' and High-Volume Surgeons Have Lower Rates of Periprosthetic Femur Fracture? Perspective from a State-wide Quality Improvement Registry.

'Surgeon champions' and high-volume surgeons were more likely to be high performers, but not less-likely to be low performers. Active involvement in quality improvement and/or high-volume was associated with better outcomes, but did not impart complication immunity. 'Green' surgeons should mentor colleagues to help reduce fractures by re-evaluating modifiable factors. Analyzing outcomes to promote quality and decrease complications is paramount.