Paprosky Classification (Femoral Bone Loss)

Derives the Paprosky type (I, II, IIIA, IIIB or IV) of femoral bone loss before revision hip arthroplasty.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Metaphysis
Extensive bone loss, not supportive
Diaphysis
Extensive bone loss
Isthmus
Supportive
Intact diaphysis available for a scratch fit
Less than 4 cm

Result: Paprosky femoral type IIIB: extensive metaphyseal and diaphyseal bone loss with less than 4 cm of intact diaphyseal bone for a scratch fit.

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Metaphysis
  • Diaphysis
  • Isthmus
  • Intact diaphysis available for a scratch fit
How this is calculated

Citation

Aribindi R, Barba M, Solomon MI, Arp P, Paprosky W. Bypass fixation. Orthop Clin North Am. 1998;29(2):319-329. Criteria as tabulated in Ibrahim DA, Fernando ND. Clin Orthop Relat Res. 2017;475(3):917-921. Read the sources: Aribindi 1998 ↗, Ibrahim 2017 ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.