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. 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 III & IV Hip Frx - See: Garden Alignment Index - Garden III: *** - complete fracture with partial displacement; - "if it needs a reduction, then its a type III fracture;" - frequently there is shortening and external rotation of distal frag. 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.
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 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. Type I on plain radiographs may po-tentially be Garden Type II or III fractures.
In a study comparing digital radiography with CT for classifying Garden fractures, Chen et al. [8] found that all fractures classi fied as Type I necessitated recategorization as Gar. The Garden classification of non-displaced (Garden type I and II) and displaced (Garden type III and IV) femoral neck fractures.
Incomplete or impacted fractures, including a valgus dislocation.