Hip fractures are classified as femur neck fractures, intertrochanteric fractures, or subtrochanteric fractures according to the fracture site. Femoral neck fractures are classified according to the anatomical location of the fracture and the extent of displacement. Structurally, such fractures may be classified as impacted, nondisplaced, or displaced fractures. The Garden’s classification.
Classification based on the number of fragments and location and pattern of the fracture. Figures. Figure 1. Seinsheimer classification for subtrochanteric fractures. Reference(s) Provide the citation for the landmark article and recent review articles describing the classification.
Case Discussion. Fielding classification of subtrochanteric fractures is based on the level of the subtrochanteric region through which the fracture extends. type I: at the level of the lesser trochanter (most common) type II: within the region 2.5 cm below the lesser trochanter.A review of the literature identified 15 different classification methods for subtrochanteric femoral fractures. Only eight of those classifications defined the area of bone, which constituted a subtrochanteric fracture. The actual length of femur defined as the subtrochanteric zone varied from 3 cm up to the level of the femoral isthmus. There.It was intertrochanteric hip fracture and subtrochanteric hip fracture. Intertrochanteric fracture somehow denotes a fracture which line between greater and lesser greater trochanter on intertrochanteric line. Otherwise, subtrochanteric fracture defines a fracture, which involves the shaft of the femur. In addition, most of hip fractures do occur at the neck of femur where is about 1-2 inches.
PURPOSE: The Garden classification by which femur neck fracture is classified and the Boyd-Griffin classification by which trochanteric fracture is classified are studied on the reproducibility.
The patient underwent femoral diaphyseal osteotomy and fixation of the subtrochanteric and distal femur fractures with a long cephalomedullary nail and distal femur locking plate, respectively. Despite the magnitude of the surgical procedure, all fractures healed, preserving the femoral length with the absence of infection and clinical complications. There was an improvement of the preinjury.
A femoral fracture is a bone fracture that involves the femur.They are typically sustained in high-impact trauma, such as car crashes, due to the large amount of force needed to break the bone. Fractures of the diaphysis, or middle of the femur, are managed differently from those at the head, neck, and trochanter (see hip fractures).
Treatment of subtrochanteric fracture remains a challenge, but evolution of strategy has allowed for reliable results with low complications. Although several fixation options exist, reamed, antegrade intramedullary nailing (IMN) has evolved as the standard of care. Cognizant effort to achieve anatomic reduction before IMN passage allows for desired outcomes.
Subtrochanteric fractures have been defined as occurring in a zone extending from the lesser trochanter to 5 cm distal to the lesser trochanter (32). However, this anatomical classification of subtrochanteric fracture has several varia-tions (33 34), resulting in variable definitions in published studies (26 ,30 35).
Figure 1: Russell-Taylor subtrochanteric fracture classification system. In type I fractures, the piriformis fossa is intact, whereas type II fractures are charac-terized by fracture extension into the piriformis fossa. In subcategory A, the lesser trochanter remains intact. In subcategory B, the lesser trochanter is a separate comminuted fragment.
The authors review clinically important classification systems, such as the Pipkin, Garden, Pauwels, and Evans-Jensen classification systems, with emphasis on differentiating subchondral insufficiency fractures from avascular necrosis of the femoral head and typical subtrochanteric fractures from atypical (often bisphosphonate-related) subtrochanteric fractures. In addition, the authors.
In the FLEX trial, we reviewed 19 hip or femur fractures, and 4 fractures (occurring in 3 women) met the criteria for fracture of the subtrochanteric or diaphyseal femur: 2 of 662 women receiving.
A hip fracture will not necessarily cause bruising or prevent you from standing or walking. When to seek medical help. If you think you've fractured your hip, you'll need to go to hospital as soon as possible. Call 999 and ask for an ambulance. Try not to move while you're waiting for the ambulance and make sure you keep warm. If you've fallen, you may feel shaken or shocked, but try not to.
Intertrochanteric fractures account for about 50% of proximal femur fractures (Egol 2010) Female to male ratio is 3:1, likely due to bone density changes in post-menopausal women ( UptoDate 2017 ) Hip Fracture Physical Exam (image.wikifoundry.com).
Summary: Subtrochanteric femur fractures remain a challenge for surgeons to obtain and maintain adequate reduction and stable fixation. For this reason, multiple techniques have been described, but we are unaware of a detailed contemporary description of the combination of provisional plating before intramedullary fixation in the lateral decubitus position.