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 …
Is femoral neck fracture serious?
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.
How long does it take a femoral neck fracture to heal?
Full recovery from a femur fracture can take anywhere from 12 weeks to 12 months. But you are not alone. Most people experiencing a femur fracture can begin walking with the help of a physical therapist in the first day or two after injury and/or surgery.
Can a femur fracture heal itself?
Most femoral shaft fractures take 3 to 6 months to completely heal. Some take even longer, especially if the fracture was open or broken into several pieces or if the patient uses tobacco products.
What are the complications of fracture neck of femur?
Most complications are associated with fracture displacement or a delay in diagnosis. Complications include delayed union, nonunion, refracture, osteonecrosis, and avascular necrosis. Early fixation failure (within 3 months of surgery) occurs in 12-24% of displaced femoral neck fractures treated by internal fixation.
Why is the neck of femur a common site for fracture?
The hip joint is the articulation of the femoral head with the acetabulum. The junctional location makes the femoral neck prone to fracture. The blood supply of the femoral head runs along the femoral neck and is an essential consideration in displaced fractures and patients in the younger population.
How many femoral neck fractures are Garden 1?
Results: A total of 130 patients (81F, 49M), average age 72 years, sustained 78 Garden 1 and 52 Garden 2 femoral neck fractures. Maximal collapse occurred in the plane of the femoral neck. Thirty-three of 78 (42%) Garden 1 fractures and 33/52 (63%) Garden 2 fractures demonstrated >10 mm fracture collapse.
Which is better for garden type 2 fractures?
Although internal fixation has been recommended in the literature for undisplaced femoral neck fractures, primary arthroplasty may be a better option for treatment of Garden type 2 fractures in elderly patients. Keywords: Elderly; Femoral neck fracture; Garden type 1 and 2.
Which is the Garden classification for hip fractures?
Garden classification of hip 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 are the stages of a garden fracture?
Garden stage III: complete fracture, incompletely displaced. femoral head tilts into a varus position causing its medial trabeculae to be out of line with the pelvic trabeculae; Garden stage IV: complete fracture, completely displaced. femoral head aligned normally in the acetabulum and its medial trabeculae are in line with the pelvic trabeculae