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 province of the University of British Columbia where the authors of the 1995 paper worked.

Classification

Type	Description	Treatment
A	Fracture in the trochanteric region	ORIF if displaced
B1	Fracture around stem or just below, with well fixed stem	ORIF with cables and plate
B2	Fracture around stem or just below, with loose stem but good proximal bone	Revision of femoral component
B3	Fracture around stem or just below, with poor quality or severely comminuted proximal bone	Revision of femoral component with proximal femoral replacement
C	Fracture below the prosthesis	ORIF with plate

General

Humerus fracture:	Supracondylar Holstein–Lewis fracture

Forearm fracture:	Ulnar fracture Monteggia fracture Hume fracture Radius fracture/Distal radius Galeazzi Colles' Smith's Barton's Essex-Lopresti fracture

Leg

Tibia fracture:	Bumper fracture Segond fracture Gosselin fracture Toddler's fracture Pilon fracture Plafond fracture Tillaux fracture

Fibular fracture:	Maisonneuve fracture Le Fort fracture of ankle Bosworth fracture

Combined tibia and fibula fracture:	Trimalleolar fracture Bimalleolar fracture Pott's fracture

Crus fracture:	Patella fracture

Femoral fracture:	Hip fracture

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