Hip fractures are an exceedingly common injury. Much new evidence has been established through international randomized controlled trials which has helped to inform their management. The management of Garden I and II (non-displaced or minimally displaced) fractures remains unclear in the elderly. The authors performed a secondary analysis of data from the FAITH trial to assess risk factors for subsequent arthroplasty after fixation of Garden I and II fractures in the elderly. 555 patients were included in the sample. The authors found that posterior tilt ≥20° was a significant predictor for risk of future arthroplasty, and may be considered a reason for primary arthroplasty in this population.