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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 application of GSK. 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].
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. 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 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. One study found that the union rate of displaced femoral neck fractures was higher after fixation with 4 cancellous screws than with a sliding screw plate [39] Most surgeons, including the author of this module, prefer multiple screw fixation of some type to neutralize rotational forces. 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 system is used to guide treatment of subcapital femoral neck fractures.
Displaced fractures are often treated with hip arthroplasty, as in this case. Non.