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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.
Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant, that is, a hip prosthesis. [1] Hip replacement surgery can be performed as a total replacement or a hemi/semi(half) replacement. Such joint replacement orthopaedic surgery is generally conducted to relieve arthritis pain or in some hip fractures.
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Fractures of the diaphysis, or middle of the femur, are managed differently from those at the head, neck, and trochanter; those are conventionally called hip fractures (because they involve the hip joint region). Thus, mentions of femoral fracture in medicine usually refer implicitly to femoral fractures at the shaft or distally.
Periprosthetic in medicine refers to a structure in close relation to an implant. Clinically it can refer to: Bone fracture or 'periprosthetic fracture' [1] around an artificial joint, e.g. after a knee replacement; infection around an artificial joint or 'periprosthetic joint infection' [2] Vegetation or leak around an artificial heart valve
The 5-year mortality after hip PJIs is 21%, which is 4 times that of age adjusted controls. [2] And the 10 year mortality after hip PJIs was 45%, as compared to 29% in people with non-infected hip replacements. [2] 25% of people with PJIs have an unplanned re-operation within 1 year of PJI treatment. [2]
A hip fracture is a break that occurs in the upper part of the femur (thigh bone), at the femoral neck or (rarely) the femoral head. [2] Symptoms may include pain around the hip, particularly with movement, and shortening of the leg. [2] Usually the person cannot walk. [3] A hip fracture is usually a femoral neck fracture.
[medical citation needed] For example, a hip joint that is affected by osteoarthritis may be replaced entirely (total hip arthroplasty) with a prosthetic hip. This would involve replacing both the acetabulum (hip socket) and the head and neck of the femur. The purpose of this procedure is to relieve pain, to restore range of motion and to ...