Vancouver classification of periprosthetic hip fractures

Last revised by Henry Knipe on 18 Nov 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

Cases and figures

  • Case 1: Vancouver type A(G)
  • Case 2: Vancouver type B1
  • Case 3: Vancouver type B2
:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.