Garden I & II: Diagnosis and Treatment - See: Garden Alignment Index - Garden I: - incomplete or impacted fracture, in which the trabeculae of the inferior neck are still intact; - femoral head is tilted in a posterolateral direction, causing vaglus angulation at the frx site; - non surgical treatment. 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. 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 is shown in the drawings and corresponding radiographs for Garden Types (A) I, (B) II, (C) III, and (D) IV femoral neck fractures. Garden Types I and II femoral neck fractures are nondisplaced. Internal fixation with preservation of the femoral head generally is favored for nondisplaced fractures of the femoral neck.
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. Garden Classification of Femoral Neck Fractures 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.
The Garden Classification of Femoral Neck Fractures helps physicians classify. 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.
British orthopaedic surgeon Robert Symon Garden [fr] described a classification system for this type of fracture, referred to as the Garden classification and consisting of four grades: [1][2]. The Garden classification was foundationally based exclusively on anteroposterior radiographs with no consideration of alignment on lateral X-rays. Garden types I and II are nondisplaced fractures, with Garden I indicating a valgus.
Garden classification of femoral neck fracture relies on AP hip radiographs to guide stage. 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.