Vancouver classification of periprosthetic hip fractures

Last revised by Leonardo Lustosa on 26 Mar 2024

The Vancouver classification of periprosthetic hip fractures, proposed by Duncan and Masri, is the most widely used classification system for periprosthetic fractures of the hip. It evaluates the fracture site, the status of the femoral implant, and the quality of the surrounding femoral bone stock.

Classification

  • type A: fractures involve the trochanteric area

    • A(G): greater trochanter

    • A(L): lesser trochanter

  • type B: around the stem or just below it

    • B1: stem stable

    • B2: stem loose

    • B3: stem loose, bone stock inadequate

  • type C: well below the stem

See also

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