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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 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. In 1961, Robert Symon Garden, a British orthopaedic surgeon with a focused interest in the femoral neck, described a more-comprehensive classification [19].
The Garden classification incorporates displacement, fracture completeness, and relationship of bony trabeculae in the femoral head and 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 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 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. 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. 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 type I femoral neck fracture is defined as incomplete on X-ray films.
Seventeen of 825 fractures appeared incomplete based on radiographic evaluation. In 17 cases (100%), CT scan demonstrated a complete fracture. If confirmed by a larger study, the Garden classification will be simplified.
Garden type I fractures should all likely be fixed with cannulated screws. The Garden classification is used to describe and categorise femoral neck fractures, primarily intracapsular fractures. It is crucial for determining the prognosis and management of these fractures, as the blood supply to the femoral head may be compromised, increasing the risk of avascular necrosis.
The classification is divided into four types, ranging from minimal to severe fracture.