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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. 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 of Femoral Neck Fractures Home UW Emergency Radiology Trauma Radiology Reference Resource 10.
Pelvis & Hip Garden Classification of Femoral Neck Fractures. - Garden IV: - complete fracture w/ total displacement (some authors feel that the degree of displacement between Garden III and IV fractures is not significant); - no continuity between proximal and distal fragments; - femoral head assumes its normal position with in the acetabulum, and therefore the trabecular patterns of the acetabulum and the femoral head are aligned. Garden Types III and IV femoral neck fractures are displaced.
Fixation options for displaced femoral neck fractures include hemiarthroplasty, Fig. 1A-D The Garden classi cation is shown in the drawings and corresponding radio-graphs for Garden Types fi (A) I, (B) II, (C) III, and (D) IV femoral neck fractures. 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. Type IV: Complete fracture, fully displaced.
Simplified Garden. For Garden types I and II fractures, internal fixation with cannulated screws is typically the treatment of choice. In Garden III and IV fractures, especially in older patients or those with comorbidities, partial or total hip arthroplasty is preferred due to the high risk of avascular necrosis and non.
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.