Garden classification of hip fractures

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.

Share article

Article information

rID: 1369
Tags: stub, refs
Synonyms or Alternate Spellings:
  • Garden classification (hip fractures)
  • Garden classification

Support Radiopaedia and see fewer ads

Cases and figures

  • Drag
    Garden classifica...
    Figure 1: diagrams - Garden classification
    Drag here to reorder.
  • Drag
    Case 1 : Garden III
    Drag here to reorder.
  • Drag
    Case 2 : Garden IV
    Drag here to reorder.
  • Drag
    Case 3 : Garden I
    Drag here to reorder.
  • Updating… Please wait.

    Alert accept

    Error Unable to process the form. Check for errors and try again.

    Alert accept Thank you for updating your details.