Which classification is used to describe intracapsular neck of femur fractures?
The Garden classification is a system of categorizing intracapsular hip fractures of the femoral neck. This fracture often disrupt the blood supply to the femoral head.
What criteria is used to classify femoral neck fractures?
The Garden classification incorporates displacement, fracture completeness, and relationship of bony trabeculae in the femoral head and neck. Gardens’ originally reviewed 80 patients with femoral neck fractures, which he classified in Types I to IV, and he followed these patients for at least 12 months postoperatively.
What is the Garden classification of fractured neck of femur?
Garden Classification of Femoral Neck Fractures
| Classification | Simplified classification | Description |
|---|---|---|
| Type 1 | Nondisplaced | Incomplete, nondisplaced, including valgus impacted fractures |
| Type 2 | Complete, nondisplaced | |
| Type 3 | Displaced | Complete, incompletely displaced |
| Type 4 | Complete, completely displaced |
What is a femoral neck fracture?
Femoral neck fractures are a specific type of intracapsular hip fracture. The femoral neck connects the femoral shaft with the femoral head. The hip joint is the articulation of the femoral head with the acetabulum. The junctional location makes the femoral neck prone to fracture.
How many types of femur fractures are there?
A transverse fracture is a straight line across the shaft of the femur. An oblique fracture is an angled line or break. A spiral fracture is a fracture that encircles the femur shaft. A comminuted fracture occurs when the bone has broken into several pieces.
Why is a femoral neck fracture common?
Neck of femur fractures are typically caused either by low energy injuries (the most common type), such as a fall in frail older patient, or high energy injuries, such as a road traffic collision or fall from height and are often associated with other significant injuries.
Is femoral neck fracture serious?
They are more common in women. A femoral neck fracture can tear the blood vessels and cut off the blood supply to the femoral head. If the blood supply to the femoral head is lost, the bone tissue will die (a process called avascular necrosis), leading to the eventual collapse of the bone.
What is measured under the Pauwels classification of femoral neck fractures?
… The Pauwels classification is based on the angle between the fracture line of the distal fragment and the horizontal line to determine the shear stress and compressive force. 12 A Pauwels type III femoral neck fracture refers to an angle of >50 .
What are the complications of femoral neck fracture?
Most complications are associated with fracture displacement or a delay in diagnosis. Complications include delayed union, nonunion, refracture, osteonecrosis, and avascular necrosis. Early fixation failure (within 3 months of surgery) occurs in 12-24% of displaced femoral neck fractures treated by internal fixation.
How serious is a femoral neck fracture?
What kind of injury is a femoral head fracture?
Fracture of the femoral head is a severe, relatively uncommon injury; typically, it occurs following traumatic posterior dislocation of the hip joint. The Pipkin classification is the most commonly used classification system. Diagnosis is aided by a complete history, physical examination, and imaging, including computed tomography.
Which is the best classification for femoral neck fractures?
The Garden classification of subcapital femoral neck fractures is the most widely used. It is simple and predicts the development of AVN 1 ,2. Garden described particular femoral neck and acetabular trabeculae patterns which can assist in recognizing differences within this classification system 2.
What does Garden classification of femoral neck mean?
The Garden classification incorporates displacement, fracture completeness, and relationship of bony trabeculae in the femoral head and neck. Gardens’ originally reviewed 80 patients with femoral neck fractures, which he classified in Types I to IV, and he followed these patients for at least 12 months postoperatively.
What is the AO Classification for a hip fracture?
The AO/OTA classification of intertrochanteric fractures is designated as 31-A. It is further divided based on stability and fracture pattern. 31-A1 is a stable intertrochanteric fracture, and 31-A2 is an unstable intertrochanteric fracture, while 31-A3 is a reverse obliquity fracture or fractures that involve the lateral cortex.