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Garden classification of hip fractures

Dr Craig Hacking and Dr Frank Gaillard et al.

The Garden classification of proximal femoral fractures is the most widely used, and is useful as it is both simple and predicts the development of AVN.

  • Garden stage I : undisplaced incomplete, including valgus impacted fractures.
  • Garden stage II : undisplaced complete
  • Garden stage III : complete fracture, incompletely displaced
  • Garden stage IV : complete fracture, completely displaced

In general, stage I and II are stable fractures and can be treated with internal fixation (head-preservation) and stage III and VI are unstable fractures and hence treated with arthroplasty (either hemi- or total arthroplasty) 4.

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