Vancouver classification of periprosthetic hip fractures

Last revised by Dr Yair Glick on 05 May 2021

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

  • 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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Cases and figures

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