Vancouver Classification (Periprosthetic Femoral Fracture)

The Vancouver classification of periprosthetic femoral fractures after hip replacement, by location, stem stability, and bone stock, types AG/AL/B1/B2/B3/C.

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

Example

Vancouver type
B2 - around the stem, stem loose, adequate bone

Result: Vancouver type B2: fracture around the stem, the stem loose but with adequate proximal bone stock.

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

What the result means

Type AG / AL
Trochanteric fracture (greater / lesser trochanter).
Type B1
Around or just distal to the stem; the stem is well-fixed.
Type B2
Around the stem; the stem is loose but the proximal bone stock is adequate.
Type B3
Around the stem; the stem is loose and the proximal bone stock is deficient.
Type C
Well below the stem tip; the prosthesis is not involved.

What you enter

  • Vancouver type
How this is calculated

Duncan CP, Masri BA. Fractures of the femur after hip replacement. Instr Course Lect. 1995;44:293-304. Read the source ↗

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.