Users' questions

Which classification is used to describe intracapsular neck of femur fractures?

Which classification is used to describe intracapsular neck of femur fractures?

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.

What criteria is used to classify femoral neck fractures?

The Garden classification incorporates displacement, fracture completeness, and relationship of bony trabeculae in the femoral head and neck. Gardens’ originally reviewed 80 patients with femoral neck fractures, which he classified in Types I to IV, and he followed these patients for at least 12 months postoperatively.

What is a valgus osteotomy?

A popular surgical treatment aimed at improving the biomechanics-valgus intertrochanteric osteotomy-optimizes conditions for fracture healing by converting shear forces across the fracture site into compressive forces.

What is the Garden classification of fractured neck of femur?

1) consists of four subtypes: Garden grade I is an incomplete femoral neck fracture, with valgus impaction; Garden grade II is a complete but non-displaced fracture; Garden grade III fracture is a complete and partially displaced fracture with alignment of the femoral neck relative to the neck in varus deformity and …

Which is better arthroplasty or valgus intertrochanteric osteotomy?

Treatment options consist of valgus intertrochanteric osteotomy versus arthroplasty. Treatment should be tailored to the individual patient, taking into account patient age and activity demands. This review outlines the principles and technical considerations for valgus osteotomy of the proximal femur in the setting of femoral neck nonunion.

Is there a specific nonunion after a femoral neck fracture?

Specific nonunion after femoral neck fracture is a unique and challenging problem facing the treating orthopaedic surgeon. Literature is relatively scarce on the overall incidence and risk factors for nonunion in younger patients, as a large proportion of published series denote rates in the elderly.

What is the failure rate for femoral neck fractures?

Failure rates high early failure rates in fixation group, which stabilizes after 2 years 2-year follow-up (elderly population >70 years) with displaced femoral neck fractures 46% with fixation techniques. 8% with arthroplasty techniques. 2-to-10 year follow-up failure rate approx. 2-4%, respectively.

What is the Garden classification for femoral neck fractures?

– Most commonly applied to geriatric/insuffiency fractures Garden Classification I Valgus impacted or incomplete II Complete Non-displaced III Complete Partial displacement IV Complete Full displacement Garden Classification • Poor interobserver reliability • Modified to: – Non-displaced