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Vancouver subtype AL PFFs (fracture of the lesser trochanter)

NM Nicola Mondanelli
ET Elisa Troiano
AF Andrea Facchini
RG Roberta Ghezzi
MM Martina Di Meglio
NN Nicolò Nuvoli
GP Giacomo Peri
PA Pietro Aiuto
GC Giovanni Battista Colasanti
SG Stefano Giannotti
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These fractures are treated conservatively. A large postero-medial calcar fragment (though unusual) may compromise proximal stem stability, making stem revision necessary with distal diaphyseal fixation.9,10,35,36,38,39,55,69 Anyway, a large fragment involves the “bed” of the stem and therefore should be better classified as a type B PFF (with stable or unstable stem).13,14

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