Johansson classification of periprosthetic hip fractures (historical)
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Citation:
Glick Y, Knipe H, Murphy A, et al. Johansson classification of periprosthetic hip fractures (historical). Reference article, Radiopaedia.org (Accessed on 22 Mar 2025) https://doi.org/10.53347/rID-52659
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52659
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Disclosures:
At the time the article was created Yaïr Glick had no recorded disclosures.
View Yaïr Glick's current disclosures
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Disclosures:
At the time the article was last revised Henry Knipe had the following disclosures:
- Micro-X Ltd, Shareholder (past)
These were assessed during peer review and were determined to not be relevant to the changes that were made.
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- Johansson classification
The Johansson classification of periprosthetic hip fractures was one of the first classification systems proposed and is based on the anatomical location of the fracture 3.
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Usage
The Johansson classification, published in 1981, has been surpassed by the Vancouver and unified classification systems 3.
Classification
This classification is based on the fracture level in relation to the prosthesis 1-3:
type I: fracture proximal to the tip of the prosthesis with the stem still in contact with the medullary canal
type II: fracture extends distal to the tip of the prosthesis, with dislodgement of the stem from the medullary canal of the distal fragment
type III: fracture entirely distal to the tip of the prosthesis
See also
References
- 1. Seyed Behrooz Mostofi. Fracture Classifications in Clinical Practice. (2006) ISBN: 9781846281440 - Google Books
- 2. Kenneth J. Koval, Joseph David Zuckerman. Handbook of Fractures. (2006) ISBN: 9780781790093 - Google Books
- 3. Yao Z, Fan S, Zhao W, Huang J. The History of Classification Systems for Periprosthetic Femoral Fractures: A Literature Review. Orthop Surg. 2024;16(8):1816-31. doi:10.1111/os.14149 - Pubmed
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