Periprosthetic femoral fractures is a potentially serious complication of total hip arthroplasty, and the adverse results will place serious health burden on patients. Currently, the Vancouver classification is used to guide the management of PFFs, and the evaluation and treatment of Vancouver type B fractures is also the most complex,depending on a variety of factors, including the type of prosthesis, the mechanism and integrity of prosthesis fixation, the type and the location of the fracture, and the amount of residual bone around prosthesis.This review introduces the epidemiology, risk factors, classification and evaluation of PFFs, and discusses the principles and methods of treatment for Vancouver type B PFFs. It is expected that clinicians will have a better understanding of the diagnosis and treatment of PFFs. |