What is the most commonly used classification system for femoral neck fractures?
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What is the most commonly used classification system for femoral neck fractures?
The Garden classification of subcapital femoral neck fractures is the most widely used. It is simple and predicts the development of AVN 1,2. Garden described particular femoral neck and acetabular trabeculae patterns which can assist in recognizing differences within this classification system 2.
What is the most common complication of femoral neck fracture?
Dai et al reported that the most common complications in children who were surgically treated for femoral neck fracture were avascular necrosis, nonunion of fracture, coxa vara, and premature physeal closure.
How do you classify a femur fracture?
Femoral fractures can be classified into four types.
- Type I: A small fragment of the head distal to the fovea centralis.
- Type II: A larger fragment of the head distal to the fovea centralis.
- Type III: A large fragment of the head proximal to the fovea centralis.
- Type IV: Comminuted fracture.
What is the Garden classification for hip fractures?
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 …
How do you classify a fracture?
What types of bone fractures are there?
- Closed or open fractures: If the injury doesn’t break open the skin, it’s called a closed fracture.
- Complete fractures: The break goes completely through the bone, separating it in two.
- Displaced fractures: A gap forms where the bone breaks.
When should a Hemiarthroplasty be done?
A hemiarthroplasty is a rare surgery that is only performed under unique circumstances. Replacing half of a hip joint is usually done after rare traumatic injury in which the femoral head is fractured. This can be achieved in high impact falls where the hip has become displaced and fractured.
How long do you stay in hospital after femur surgery?
The average time from arrival to surgery was 17 hours. The average time from surgery to physical therapy was 1.3 days. Patients who had surgery more than 24 hours after arrival stayed longer. Patients requiring placement stayed 2.4 days longer until placement was found.
Is the femoral neck part of the hip?
The femoral neck is the region of the femur bounded by the femoral head proximally and the greater and lesser trochanters distally (shown below). A femoral neck fracture is intracapsular, that is within the hip joint and beneath the fibrous joint capsule.
How serious is a femoral neck fracture?
A femoral neck fracture can tear the blood vessels and cut off the blood supply to the femoral head. If the blood supply to the femoral head is lost, the bone tissue will die (a process called avascular necrosis), leading to the eventual collapse of the bone.
What part of the femur is most commonly fractured?
Motor vehicle collisions, for example, are the number one cause of femur fractures. The long, straight part of the femur is called the femoral shaft. When there is a break anywhere along this length of bone, it is called a femoral shaft fracture. This type of broken leg almost always requires surgery to heal.
What are the complications of femur fracture?
Complications and injuries associated with midshaft femur fractures in the adult can be life-threatening and may include hemorrhage, internal organ injury, wound infection, fat embolism, and adult respiratory distress syndrome [2,6].
