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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. 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.
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 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. Konsequenz Während Frakturen vom Typ Garden I und II eine günstige Prognose bezüglich ihrer Komplikationsrate (Hüftkopfnekrose, Pseudarthrose) haben, sind Frakturen vom Typ III und IV mit sehr hohen Komplikationsraten behaftet und sollten daher schnellstmöglich einer operativen Therapie zugeführt werden. 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. Explore the Garden Classification for femoral neck fractures: a key guide for diagnosing severity, guiding treatment, and predicting outcomes. Abb.
3-26: Röntgenbild einer progredienten Schenkelhalsfraktur (A-C). Aus einer Garden Typ 2 Fraktur entwickelte sich im Verlauf eine Garden Typ 4 Schenkelhalsfraktur (C).