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

Type  | Description  | Treatment

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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

* Orthobullets
* Wheeless Online

* v
* t
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Fractures and cartilage damage

General|

* Avulsion fracture
* Chalkstick fracture
* Greenstick fracture
* Open fracture
* Pathologic fracture
* Spiral fracture

Head|

* Basilar skull fracture
* Blowout fracture
* Mandibular fracture
* Nasal fracture
* Le Fort fracture of skull
* Zygomaticomaxillary complex fracture
* Zygoma fracture

Spinal fracture|

* Cervical fracture
* Jefferson fracture
* Hangman's fracture
* Flexion teardrop fracture
* Clay-shoveler fracture
* Burst fracture
* Compression fracture
* Chance fracture
* Holdsworth fracture

Ribs|

* Rib fracture
* Sternal fracture

Shoulder fracture|

* Clavicle
* Scapular

Arm fracture|

| Humerus fracture:|

* Proximal
* Supracondylar
* Holstein–Lewis fracture

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Forearm fracture:|

* Ulna fracture
* Monteggia fracture
* Hume fracture
* Radius fracture/Distal radius
* Galeazzi
* Colles'
* Smith's
* Barton's
* Essex-Lopresti fracture

Hand fracture|

* Scaphoid
* Rolando
* Bennett's
* Boxer's
* Busch's

Pelvic fracture|

* Duverney fracture
* Pipkin fracture

Leg|

| Tibia fracture:|

* Bumper fracture
* Segond fracture
* Gosselin fracture
* Toddler's fracture
* Pilon fracture
* Plafond fracture
* Tillaux fracture

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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

Foot fracture|

* Lisfranc
* Jones
* March
* Calcaneal

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