Vancouver classification
The Vancouver classification is a grading system used in orthopaedics to determine management of post-operative periprosthetic femoral fractures following a hip arthroplasty. It is named for the city Vancouver, home to the University of British Columbia where the authors of the 1995 paper worked.
Classification
| Type | Description | Treatment |
|---|---|---|
| A | Fracture in the trochanteric region | ORIF if displaced |
| B1 | Fracture around stem or just below, with well fixed stem | ORIF with cables and plate |
| B2 | Fracture around stem or just below, with loose stem but good proximal bone | Revision of femoral component |
| B3 | Fracture around stem or just below, with poor quality or severely comminuted proximal bone | Revision of femoral component with proximal femoral replacement |
| C | Fracture below the prosthesis | ORIF with plate |
gollark: Oh dear.
gollark: I think there used to be.
gollark: Interesting that there's absolutely no overlap between top star receivers and top star givers there.
gollark: I forgot where it is, enjoy searching chat history.
gollark: https://i.imgur.com/qcaQPMf.png
References
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