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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.
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.
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
A femoral fracture is a bone fracture that involves the femur. They are typically sustained in high-impact trauma, such as car crashes , due to the large amount of force needed to break the bone. Fractures of the diaphysis , or middle of the femur, are managed differently from those at the head, neck, and trochanter ; those are conventionally ...
(h) oblique fracture Open ankle fracture with luxation Periprosthetic fracture of left femur. In orthopedic medicine, fractures are classified in various ways. Historically they are named after the physician who first described the fracture conditions, however, there are more systematic classifications as well. [citation needed]
[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 ...
A later study of 50 subtrochanteric fractures, which were assessed using the Seinsheimer classification, criticized the classification system for having poor inter-rater reliability. They noted that "Earlier studies of pertrochanteric [sic] and femoral neck fractures show that the use of classification systems is often difficult, with low ...