The Garden classification is the most commonly used to classify intracapsular femoral neck fractures [1]. It is simple and predicts the development of Avascular necrosis of the femoral head. Garden splits into four categories depending on the severity of the fracture and the degree of displacement.
Classification of Hip Fractures The fractures are graded, depending on the type, pattern and. The Garden classification of subcapital femoral neck fractures describes femoral neck fracture displacement and aims to assist in clinical decision-making to reduce the rates of non-union and osteonecrosis 1,2,4. With time, clinicians have simplified the Garden classification by grouping femoral neck fractures as either nondisplaced or displaced, as displacement is what most often guides treatment options [2, 25].
The treatment of femoral neck fractures varies based on the Garden classification. Garden classification Garden Type 1 Fractured Neck of Femur 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.
Three cancellous bone screws versus a screw. References: Sheehan, S. E., et al.
(2015). "Proximal Femoral Fractures: What the Orthopedic Surgeon Wants to Know." Radiographics 35 (5): 1563-1584. Garden R S.
Low angle fixation in fractures of the femoral neck. J Bone Joint Surg (Br) 1961; 43: 647. The Garden classi- fi fi cation 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 classi ed in Types I to IV, fi and he followed these patients for at least 12 months postoperatively. A table comparing femur neck fractures and intertrochanteric fractures across several key aspects:Classification Femur Neck Fracture Garden Classification: Type I: Incomplete fracture (valgus impacted). Type II: Complete fracture, nondisplaced.
Type III: Complete fracture, partially displaced. Garden classification is the most commonly used classification system for femoral neck fractures. It was devised in 1961 by a British orthopaedic surgeon, who divided them into four stages according to displacement of fragments.
The femoral neck is a critical part of the hip joint that connects the femoral head to the shaft of the femur. Fractures of this area can have serious consequences, including loss of blood supply to the femoral head and subsequent avascular necrosis (death) of the bone.