what is the garden's classification for fracture neck femur ?
Question:
Answers:
Garden described four types according to the order of displacement.it is done like this:
A: Non-displaced Fractures (20%)
Type 1: Stress Fracture - Valgus impaction of head
Type 2: Complete, non-displaced fracture
B: Displaced Fractures
Type 3: Varus displacement of femoral head
Type 4: Fracture fragments completely displaced
the classification used also in Management of the fracture;for Non-displaced fracture (Type 1 or 2)
1-Bone impaction provides fracture stability
2-Bedrest results in 90% union
3-Open reduction and Internal Fixation: 100% union ,are used and for Displaced fracture (Type 3 or 4)
1-Open reduction and Internal Fixation is needed.
however some orthopedists believe that the Garden classification is not reproducible and does not lead us to the right treatment.
for more information please read these articles:
1-Classification and diagnosis of intracapsular fractures of the proximal femur.Clin Orthop Relat Res. 2002 Jun;(399):17-27.
2-Fractures of the femoral neck: a review and personal statement.Acta Chir Orthop Traumatol Cech. 2006;73(1):45-59
I have had it refered to a goose neck fracture.
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