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Adult Reconstruction
intermediate
X-Type

THA Periprosthetic Fractures - Vancouver Classification

THA Complications

An 82-year-old woman with an uncemented THA performed 8 years ago presents after a fall. She has pain and inability to weight bear. X-rays show a spiral fracture at the tip of the femoral stem with component loosening. The bone quality is poor. Regarding periprosthetic femoral fractures after THA:

Mark each as TRUE or FALSE

A

The Vancouver classification is the most widely used system for periprosthetic femoral fractures: Ty...

B

The fracture in this case is best classified as Vancouver B2 or B3 based on the loose stem; B2 fract...

C

All periprosthetic femoral fractures should be treated with plate fixation alone regardless of stem ...

D

Vancouver B1 fractures with a well-fixed stem can be treated with open reduction and internal fixati...

E

Intraoperative assessment of stem stability is critical and may differ from radiographic appearance;...

Answer the questions to see explanations

Click T (True) or F (False) for each option