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.
|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|