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 |
References
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| General | |
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| Head | |
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| Spinal fracture | |
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| Ribs | |
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| Shoulder fracture | |
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| Arm fracture | |
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| Hand fracture | |
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| Pelvic fracture | |
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| Leg | Tibia fracture: | |
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| Fibular fracture: | |
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| Combined tibia and fibula fracture: | |
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| Crus fracture: | |
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| Femoral fracture: | |
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| Foot fracture | |
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| Description |
- Anatomy
- bones
- skull
- face
- neurocranium
- compound structures
- foramina
- upper extremity
- torso
- pelvis
- lower extremity
- Physiology
- Development
- Cells
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| Disease |
- Congenital
- Neoplasms and cancer
- Trauma
- Other
- Symptoms and signs
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| Treatment | |
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| Description | |
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| Disease |
- Developmental
- Jaw
- Neoplasms and cancer
- Injury
- Other
- Symptoms and signs
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| Treatment |
- Dentistry
- endodontology
- orthodontics
- prosthodontology
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Orthopaedic eponyms |
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| | | Fractures | |
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| Classifications | |
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| Procedures | |
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| Anatomy | |
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| CPRs | |
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| Clinical signs | |
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| Clinical examination | |
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| Congenital conditions | |
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| Acquired conditions | |
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| Orthopedic implants | |
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| Orthopaedic instruments | |
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| Surgical approaches |
- Hardinge lateral approach to the hip
- Moore or Southern posterior approach to the hip
- Smith-Petersen anterior approach to the hip
- Watson-Jones anterolateral approach to the hip
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| Radiographic signs | |
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| Radiographic projections | |
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| Principles |
- Wolff's law
- Hueter-Volkmann law
- Charley's principles of three-point fixation
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| Description |
- Anatomy
- head and neck
- cranial
- arms
- torso and pelvis
- legs
- bursae and sheathes
- Physiology
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| Disease |
- Arthritis
- acquired
- back
- childhood
- soft tissue
- Congenital
- Injury
- Symptoms and signs
- Examination
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| Treatment |
- Procedures
- Drugs
- rheumatoid arthritis
- gout
- topical analgesics
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