Managing periprosthetic femoral stem fractures.

Periprosthetic fractures can be difficult to manage. The classification system developed in Vancouver is simple and useful in determining appropriate treatment. It takes into account the site of the fracture, the stability of the implant, and the surrounding bone stock, which are the important elements of the fracture and hip that determines treatment. Understanding this classification system should allow the practitioner to choose the appropriate treatment. In addition to fracture management skills, understanding how to perform a host of hip revision technique may also be required.