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<span id="openzim-page-title" class="mw-page-title-main"><span class="mw-page-title-main">Vancouver classification</span></span>
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<div id="mw-content-text" class="mw-body-content mw-content-ltr" lang="en" dir="ltr"><div class="mw-content-ltr mw-parser-output" lang="en" dir="ltr"><p>The <b>Vancouver classification</b> is a grading system used in <a href="Orthopaedics" class="mw-redirect" title="Orthopaedics">orthopaedics</a> to determine management of post-operative <a href="Periprosthetic" title="Periprosthetic">periprosthetic</a> <a href="Femur" title="Femur">femoral</a> <a href="Fractures" class="mw-redirect" title="Fractures">fractures</a> following a <a href="Hip_arthroplasty" class="mw-redirect" title="Hip arthroplasty">hip arthroplasty</a>. It is named for the city <a href="Vancouver" title="Vancouver">Vancouver</a>, home to the <a href="University_of_British_Columbia" title="University of British Columbia">University of British Columbia</a> where the authors of the 1995 paper worked.
</p>
<div class="mw-heading mw-heading2"><h2 id="Classification">Classification</h2></div>
<table class="wikitable">
<tbody><tr>
<th>Type
</th>
<th>Description
</th>
<th>Treatment
</th></tr>
<tr>
<td>A
</td>
<td>Fracture in the <a href="Human_trochanter" class="mw-redirect" title="Human trochanter">trochanteric</a> region
</td>
<td><a href="ORIF" class="mw-redirect" title="ORIF">ORIF</a> if displaced
</td></tr>
<tr>
<td>B1
</td>
<td>Fracture around stem or just below, with well fixed stem
</td>
<td><a href="ORIF" class="mw-redirect" title="ORIF">ORIF</a> with cables and plate
</td></tr>
<tr>
<td>B2
</td>
<td>Fracture around stem or just below, with loose stem but good proximal bone
</td>
<td>Revision of femoral component
</td></tr>
<tr>
<td>B3
</td>
<td>Fracture around stem or just below, with poor quality or severely comminuted proximal bone
</td>
<td>Revision of femoral component with proximal femoral replacement
</td></tr>
<tr>
<td>C
</td>
<td>Fracture below the <a href="Implant_(medicine)" title="Implant (medicine)">prosthesis</a>
</td>
<td><a href="ORIF" class="mw-redirect" title="ORIF">ORIF</a> with plate
</td></tr></tbody></table>
<div class="mw-heading mw-heading2"><h2 id="References">References</h2></div>
<ul><li><a rel="nofollow" class="external text" href="http://www.orthobullets.com/recon/5013/tha-periprosthetic-fracture">Orthobullets</a></li>
<li><a rel="nofollow" class="external text" href="http://www.wheelessonline.com/ortho/thr_femur_fractures">Wheeless Online</a></li></ul>
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</style><div id="Fractures_and_cartilage_damage225" style="font-size:114%;margin:0 4em"><a href="Bone_fracture" title="Bone fracture">Fractures</a> and <a href="Articular_cartilage_damage" title="Articular cartilage damage">cartilage damage</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%">General</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Avulsion_fracture" title="Avulsion fracture">Avulsion fracture</a></li>
<li><a href="Chalkstick_fracture" title="Chalkstick fracture">Chalkstick fracture</a></li>
<li><a href="Greenstick_fracture" title="Greenstick fracture">Greenstick fracture</a></li>
<li><a href="Open_fracture" title="Open fracture">Open fracture</a></li>
<li><a href="Pathologic_fracture" title="Pathologic fracture">Pathologic fracture</a></li>
<li><a href="Spiral_fracture" title="Spiral fracture">Spiral fracture</a></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Human_head" title="Human head">Head</a></th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Basilar_skull_fracture" title="Basilar skull fracture">Basilar skull fracture</a></li>
<li><a href="Blowout_fracture" class="mw-redirect" title="Blowout fracture">Blowout fracture</a></li>
<li><a href="Mandibular_fracture" title="Mandibular fracture">Mandibular fracture</a></li>
<li><a href="Nasal_fracture" title="Nasal fracture">Nasal fracture</a></li>
<li><a href="Le_Fort_fracture_of_skull" title="Le Fort fracture of skull">Le Fort fracture of skull</a></li>
<li><a href="Zygomaticomaxillary_complex_fracture" title="Zygomaticomaxillary complex fracture">Zygomaticomaxillary complex fracture</a></li>
<li><a href="Zygoma_fracture" title="Zygoma fracture">Zygoma fracture</a></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Spinal_fracture" title="Spinal fracture">Spinal fracture</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Cervical_fracture" title="Cervical fracture">Cervical fracture</a>
<ul><li><a href="Burst_fracture" title="Burst fracture">Burst fracture</a></li>
<li><a href="Chance_fracture" title="Chance fracture">Chance fracture</a></li>
<li><a href="Clay-shoveler_fracture" title="Clay-shoveler fracture">Clay-shoveler fracture</a></li>
<li><a href="Craniocervical_instability" title="Craniocervical instability">Craniocervical instability</a></li>
<li><a href="Flexion_teardrop_fracture" title="Flexion teardrop fracture">Flexion teardrop fracture</a></li>
<li><a href="Hangman's_fracture" title="Hangman's fracture">Hangman's fracture</a></li>
<li><a href="Holdsworth_fracture" title="Holdsworth fracture">Holdsworth fracture</a></li>
<li><a href="Jefferson_fracture" title="Jefferson fracture">Jefferson fracture</a></li>
<li><a href="Vertebral_compression_fracture" title="Vertebral compression fracture">Vertebral compression fracture</a></li></ul></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Rib" title="Rib">Ribs</a></th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Rib_fracture" title="Rib fracture">Rib fracture</a></li>
<li><a href="Sternal_fracture" title="Sternal fracture">Sternal fracture</a></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Shoulder_fracture" class="mw-redirect" title="Shoulder fracture">Shoulder fracture</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Clavicle_fracture" title="Clavicle fracture">Clavicle</a></li>
<li><a href="Scapular_fracture" title="Scapular fracture">Scapular</a></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Arm_fracture" class="mw-redirect" title="Arm fracture">Arm fracture</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%;background:WhiteSmoke;"><a href="Humerus_fracture" title="Humerus fracture">Humerus fracture</a>:</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Proximal_humerus_fracture" title="Proximal humerus fracture">Proximal</a></li>
<li><a href="Supracondylar_humerus_fracture" title="Supracondylar humerus fracture">Supracondylar</a></li>
<li><a href="Holstein%E2%80%93Lewis_fracture" title="Holstein–Lewis fracture">Holstein–Lewis fracture</a></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;background:WhiteSmoke;"><a href="Forearm_fracture" class="mw-redirect" title="Forearm fracture">Forearm fracture</a>:</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Ulna_fracture" title="Ulna fracture">Ulna fracture</a>
<ul><li><a href="Monteggia_fracture" title="Monteggia fracture">Monteggia fracture</a></li>
<li><a href="Hume_fracture" title="Hume fracture">Hume fracture</a></li></ul></li>
<li><a href="Radius_fracture" class="mw-redirect" title="Radius fracture">Radius fracture</a>/<a href="Distal_radius_fracture" title="Distal radius fracture">Distal radius</a>
<ul><li><a href="Galeazzi_fracture" title="Galeazzi fracture">Galeazzi</a></li>
<li><a href="Colles'_fracture" title="Colles' fracture">Colles'</a></li>
<li><a href="Chauffeur's_fracture" title="Chauffeur's fracture">Chauffeur's</a></li>
<li><a href="Smith's_fracture" title="Smith's fracture">Smith's</a></li>
<li><a href="Barton's_fracture" title="Barton's fracture">Barton's</a></li>
<li><a href="Essex-Lopresti_fracture" title="Essex-Lopresti fracture">Essex-Lopresti fracture</a></li></ul></li></ul>
</div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Hand_fracture" class="mw-redirect" title="Hand fracture">Hand fracture</a></th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Scaphoid_fracture" title="Scaphoid fracture">Scaphoid</a></li>
<li><a href="Rolando_fracture" title="Rolando fracture">Rolando</a></li>
<li><a href="Bennett's_fracture" title="Bennett's fracture">Bennett's</a></li>
<li><a href="Boxer's_fracture" title="Boxer's fracture">Boxer's</a></li>
<li><a href="Busch_fracture" title="Busch fracture">Busch's</a></li>
<li><a href="Broken_finger" title="Broken finger">Broken finger</a></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Pelvic_fracture" title="Pelvic fracture">Pelvic fracture</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Duverney_fracture" title="Duverney fracture">Duverney fracture</a></li>
<li><a href="Pipkin_fracture" class="mw-redirect" title="Pipkin fracture">Pipkin fracture</a></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Leg</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%;background:WhiteSmoke;"><a href="Tibia_fracture" class="mw-redirect" title="Tibia fracture">Tibia fracture</a>:</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Bumper_fracture" class="mw-redirect" title="Bumper fracture">Bumper fracture</a></li>
<li><a href="Segond_fracture" title="Segond fracture">Segond fracture</a></li>
<li><a href="Gosselin_fracture" title="Gosselin fracture">Gosselin fracture</a></li>
<li><a href="Toddler's_fracture" title="Toddler's fracture">Toddler's fracture</a></li>
<li><a href="Pilon_fracture" title="Pilon fracture">Pilon fracture</a>
<ul><li><a href="Plafond_fracture" class="mw-redirect" title="Plafond fracture">Plafond fracture</a></li></ul></li>
<li><a href="Tillaux_fracture" title="Tillaux fracture">Tillaux fracture</a></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;background:WhiteSmoke;"><a href="Fibular_fracture" class="mw-redirect" title="Fibular fracture">Fibular fracture</a>:</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Maisonneuve_fracture" title="Maisonneuve fracture">Maisonneuve fracture</a></li>
<li><a href="Le_Fort_fracture_of_ankle" class="mw-redirect" title="Le Fort fracture of ankle">Le Fort fracture of ankle</a></li>
<li><a href="Bosworth_fracture" title="Bosworth fracture">Bosworth fracture</a></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;background:WhiteSmoke;"><a href="Combined_tibia_and_fibula_fracture" class="mw-redirect" title="Combined tibia and fibula fracture">Combined tibia and fibula fracture</a>:</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Trimalleolar_fracture" title="Trimalleolar fracture">Trimalleolar fracture</a></li>
<li><a href="Bimalleolar_fracture" title="Bimalleolar fracture">Bimalleolar fracture</a></li>
<li><a href="Pott's_fracture" title="Pott's fracture">Pott's fracture</a></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;background:WhiteSmoke;"><a href="Crus_fracture" title="Crus fracture">Crus fracture</a>:</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Patella_fracture" title="Patella fracture">Patella fracture</a></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;background:WhiteSmoke;"><a href="Femoral_fracture" title="Femoral fracture">Femoral fracture</a>:</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Hip_fracture" title="Hip fracture">Hip fracture</a></li></ul>
</div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Foot_fracture" class="mw-redirect" title="Foot fracture">Foot fracture</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Lisfranc_injury" title="Lisfranc injury">Lisfranc</a></li>
<li><a href="Jones_fracture" title="Jones fracture">Jones</a></li>
<li><a href="Cuneiform_fracture" title="Cuneiform fracture">Cuneiform</a></li>
<li><a href="March_fracture" title="March fracture">March</a></li>
<li><a href="Calcaneal_fracture" title="Calcaneal fracture">Calcaneal</a></li>
<li><a href="Broken_toe" title="Broken toe">Broken toe</a></li></ul>
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