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

TypeDescriptionTreatment
AFracture in the trochanteric regionORIF if displaced
B1Fracture around stem or just below, with well fixed stemORIF with cables and plate
B2Fracture around stem or just below, with loose stem but good proximal boneRevision of femoral component
B3Fracture around stem or just below, with poor quality or severely comminuted proximal boneRevision of femoral component with proximal femoral replacement
CFracture below the prosthesisORIF with plate