Open femur fracture classification

Classification of soft-tissue injuries in open femur

Among 32,582 documented trauma victims (January 1, 2002, to December 31, 2010), a total of 5,761 met the inclusion criteria. Main groups: 4,423 closed (76.8%) and 1,338 open femur fractures (23.2%). Open fractures subgroups were divided into I° (334, 28.1%), II° (526, 44.3%), and III° (328, 27.6%) Femur Fracture Classification • Type 0 - No comminution • Type 1 - Insignificant butterfly fragment with transverse or short oblique fracture • Type 2 - Large butterfly of less than 50% of the bony width, > 50% of cortex intact • Type 3 - Larger butterfly leaving less than 50% of the cortex in contact • Type 4 - Segmental comminutio The skin around the fracture may be intact (closed fracture) or the bone may puncture the skin (open fracture). Doctors describe fractures to each other using classification systems. Femur fractures are classified depending on: The location of the fracture (the femoral shaft is divided into thirds: distal, middle, proximal

Open Fractures Gustilo classification used for prognosis Fracture healing, infection and amputation rate correlate with the degree of soft tissue injury by Gustilo Fractures should be classified in the operating room at the time of initial debridemen A grade I open fracture occurs when there is a skin wound that communicates with the fracture measuring less than one centimeter The Gustilo-Anderson classification system is the most commonly used grading system for open fractures. Fractures are designated as one of three types based on wound size, soft tissue involvement, contamination, and fracture pattern. Table 1: Gustilo-Anderson Classification Syste Summary. Femoral shaft fractures are high energy injuries to the femur that are associated with life-threatening injuries (pulmonary, cerebral) and ipsilateral femoral neck fractures. Diagnosis is made radiographically with radiographs of the femur as well as the hip to rule out ipsilateral femoral neck fractures

Transverse fractures are considered length-stable and some oblique or comminuted fractures are considered length-unstable. Open fractures are classified by the system of Gustilo and Anderson. (Gustilo, 1976 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.. Garden stage I: undisplaced incomplete, including valgus impacted fractures Open fractures are classified according to the Gustillo-Anderson (GA) or the Oestern and Tscherne classification. Communication with the outside world can lead to significant uncontained bleeding and an increased risk of infection. A study demonstrated an infection rate of 2.3% for GA type I and II vs. 17.6% for GA type III.

Subtrochanteric fractures - Fielding classification

Distal femur fractures can be closed — meaning the skin is intact — or can be open. An open fracture is when a bone breaks in such a way that bone fragments stick out through the skin or a wound penetrates down to the broken bone. Open fractures often involve much more damage to the surrounding muscles, tendons, and ligaments A femoral fracture is a fracture of the femur (thigh bone). A femoral shaft fracture is defined as a fracture of the diaphysis occurring between 5 cm distal to the lesser trochanter and 5 cm proximal to the adductor tubercle occurs by chronic, repetitive activity that is common to runners and military There is yet a worldwide consensus on the classification system or management guidelines for the management of GSIs. We report a case of open transcervical fracture of right femur resulting from a GSI

Femur Shaft Fractures (Broken Thighbone) - OrthoInfo - AAO

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. The proximal femoral fractures are classified as 31 fractures. Intertrochanteric Neck and head hip fractures fractures Examples of treatment 31-A with DHS 31-B and C with hemi-arthroplasty We will further discuss the 31-B fractures. The age and physiological status of patients dictate the treatment. 1. The 31-B1 fracture is a subcapital. Most femoral shaft fractures are high energy injuries, and thus often are accompanied by other injuries (head, thorax, spine, etc). The patient's survival may depend on the expedient diagnosis of these concomitant injuries. The skin of the thigh should be examined for open fractures of the femur immediately The majority of periprosthetic femoral fractures are treated surgically.Surgical treatment may be revision only, revision in combination with open reduction and internal fixation (ORIF), or ORIF only.The treatment decision is dependent on whether the stem is loose or not, but loose stems are not always identified, resulting in unsatisfactory treatments.This article presents an algorithmic.

The classification of such soft-tissue wounding is according to two systems, namely that of Gustilo, Mendoza & Williams (See: Gustilo RB, Mendoza RM, Williams DN (1984) Problems in the management of type III (severe) open fractures. A new classification of type III open fractures In the Vancouver classification system, fractures are categorized into one of three anatomic zones: trochanteric (Vancouver A), femoral stem (Vancouver B), and well distal to the femoral stem (Vancouver C) (Fig 5)

Being injured between 2003 and 2006, antibiotic bead use, and foreign body plus implant(s) at fracture site were also risk factors. Conclusions: Patients with open femur fractures resulting in significant muscle damage have the highest osteomyelitis risk. Foreign body contamination was only significant when an implant was present Bottom Line: The lateral femoral wall was more frequently fractured during SHS implantation (42 patients) than in the IN group (9 patients) (p < 0.001). 6 (4%) of the 158 patients operated with IN had to be reoperated, as compared to 22 (14%) in the SHS group of 153 patients (p = 0.001).IN had a lower reoperation rate than SHS in these pertrochanteric hip fractures with a detached greater. Open Fractures of Femur. - Immediate Nailing of Open Fractures of the Femoral Shaft. - Comparison of mortality of patients with multiple injuries according to type of fracture treatment--a retrospective age- and injury-matched series. - Blunt multiple trauma (ISS 36), femur traction, and the pulmonary failure-septic state Gustilo open fracture classification classifies into three major categories. Below is a description of each of the grades of fracture. Gustilo Classification for Open Fractures Patient presents for follow-up for a type IIIB oblique displaced fracture of the shaft of the left femur. The fracture is healing well after surgical intervention

Fracture in which there is a major arterial injury requiring repair for limb salvage; Explanation. Gustilo open fracture classification classifies into three major categories (types) depending on the mechanism of the injury, soft tissue damage, and degree of skeletal involvement. Figures. Open fracture of the distal radius and ulna, Gustilo type Demographics. The total of 118 fractures consisted of 72 proximal (AO/OTA 31), 30 diaphyseal (AO/OTA 32) and 15 distal (AO/OTA 33) femur fractures, according to the established gold standard classification (Table 2).The raters classified one fracture as a pathological fracture, making the total number of fractures 117 in Tables 2 and 3.There were 77 women and 41 men Kazi, A. et al. Automatic classification of proximal femur fractures based on attention models. In International Workshop on Machine Learning in Medical Imaging 70-78 (Springer, 2017). 15 In the Unified classification of open fractures, open fractures are described based on contamination, integument injury, muscle damage, bone loss, and arterial injury forming the acronym CIMBA. Each of the 5 categories is then paired with the well-known Gustilo-Anderson classification categories I-IIIC 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.

Gustilo-Anderson Classification for Compound Fracture

  1. An open fracture is defined as one in which the fracture fragments communicate with the environment through a break in the skin. The presence of an open fracture either isolated or as part of a multiple injury complex increases the risk of infection and soft tissue complications. In 1976, Gustilo and Anderson [1] described a system to classify.
  2. uted. Transverse- Line of Fracture is transverse. Stellate- Line of fracture radiate from a point. Oblique- Line of fracture is oblique. Spiral- Line of fracture is Spiral
  3. Approximate Synonyms. Open fracture of left femur; Open left femur (upper leg bone) fracture; ICD-10-CM S72.92XB is grouped within Diagnostic Related Group(s) (MS-DRG v 38.0):. 533 Fractures of femur with mcc; 534 Fractures of femur without mcc; 791 Prematurity with major problems; 793 Full term neonate with major problems; 963 Other multiple significant trauma with mcc.
  4. The Garden classification is the most commonly used for femoral neck fractures. This splits into four categories depending on the severity of the fracture and the degree of displacement. Type I is an incomplete fracture or valgus impacted fracture
  5. RESEARCH ARTICLE Open Access A new classification of TKA periprosthetic femur fractures considering the implant type Johannes K. M. Fakler1*†, Cathleen Pönick1†, Melanie Edel1,2, Robert Möbius1,2, Alexander Giselher Brand1, Andreas Roth1, Christoph Josten1,2 and Dirk Zajonz1,2 Abstrac

Femoral Shaft Fractures - Trauma - Orthobullet

The morphology of the fracture is documented by a specific child code that stands for the: Fracture pattern; Severity code; Additional code (used in certain types of displaced distal humeral, displaced proximal radial and femoral neck fractures The Coventry classification system groups the periprosthetic fractures into 'happy hips' and 'unhappy hips' based on whether or not the stem is loose. In 'happy' hips, treatment only needs to address the fracture itself, unless the fixation has been compromised by the fracture. In the 'unhappy hips', revision of the prosthesis. Femur fractures vary greatly. The pieces of bone may be aligned correctly (straight) or out of alignment (displaced), and the fracture may be closed (skin intact) or open (bone piercing through the skin). An open fracture is rare. Specifically, thighbone fractures are classified depending on

Dr. Ebraheim's educational animated video describes classifications of femoral neck fractures.Femoral neck fractures can occur as a result of low energy trau.. Gustilo-Anderson Classification. Classification of type III (severe) open fractures relative to treatment and results. Interobserver agreement in the classification of open fractures of the tibia. The results of a survey of two hundred and forty-five orthopaedic surgeons [ see comments ]. Open fractures of the tibia in children

Gustilo open fracture classification - Wikipedi

pattern and is concerned for achieving a stable fixation in femoral neck fracture in the young population. Pauwels' classification is based on the angle of femoral neck fracture relative to the horizontal axis [1-8]. A. Leighton's Classification of Femoral Neck Non-union [9]. i. Type - Inadequate fixation or non-anatomic reduction. ii Jones-Powell classification. It is based on the mechanical stability of the pelvic ring and the potential contamination of the open wound. Class 1 - Stable pelvic ring. Class 2 - Pelvic ring unstable (no rectal or perineal wound) Class 3 - Pelvic ring unstable (rectal or perineal wound) Mortality: Class 1 - 0%. Class 2 - 24%

2021 ICD-10-CM Codes S72*: Fracture of femu

A frontal radiograph showed a periprosthetic femoral fracture along the femoral stem (Vancouver B) with multiple findings of prosthesis instability, including fracture extension to the textured portion of the prosthesis, fracture disruption of the medial buttress, and preexisting osteolysis (suggested by periprosthetic lucency and cortical. 77% for open fractures of the knee joint. Other reports claimed a mortality rate ranging from 54 to 99% for open femur fractures.10 In War World I, the mortality rate for an open fracture of the femur remained approximately 80%. The immediate use of the Thomas splint for femur fractures was introduced in 1916, and th The most common types of hip fractures are: Femoral neck fracture: A femoral neck fracture occurs one to two inches from the hip joint. These fractures are common among older adults and can be related to osteoporosis. This type of fracture may cause a complication because the break usually cuts off the blood supply to the head of the femur.

This classification is based on the Pauwels angle, which is defined using the angle between a line through the fracture and a line that is tangential to the superior aspect of the femoral head. 28 In this classification, type I fractures are less than 30°, type II fractures are between 30° and 50°, and type III fractures are greater than 50. Classification. Femoral-shaft fractures can be classified by location, as follows: proximal third, middle third, distal third, and the junctions of the segments, among others. Geometry of the fracture, displacement, alignment, comminution, open versus closed status, and the amount of soft-tissue damage are also used The severity of an open fracture is generally classified according to a system called the Gustilo-Anderson open fracture classification system. This classification system gives information about the likelihood of infection and the anticipated time for healing of an open fracture Lateral plateau cleavage combined with depression. Type 3. Lateral plateau pure central depression. Type 4. Medial plateau fractures, either split or depressed. May include tibial spines. Type 5. Medial and lateral plateau fractures. May include intercondylar eminence Femur Fracture Classification AO/OTA Femur Diaphysis - Bone segment 32. 37. Advanced Trauma Life Support (ATLS) should be initiated Symptoms pain in thigh Physical exam inspection tense, swollen thigh blood loss in closed femoral shaft fractures is 1000-1500ml for closed tibial shaft fractures, 500-1000ml blood loss in open fractures may be.

Femoral Neck Fractures: Reduction and Fixation

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 trochante A fracture that results in an open wound in the skin is called an open fracture; these can be created when the broken bone penetrates the skin (from the inside out) or when an object goes through the skin and breaks the bone. If there is no open wound near the fracture, it is called a closed fracture Although all femoral classification systems generally grade on location and displacement for description of fractures, the Vancouver system has been the most accepted. 11 Modified to accommodate. Hip fractures cause significant morbidity and are associated with increased mortality. Women experience 80% of hip fractures, and the average age of persons who have a hip fracture is 80 years

Open Fractures Classification and Management

Distal Femur Fractures - Trauma - Orthobullet

The Denis classification can be used to classify fractures of the sacrum; it describes the line of the fracture in relation to the sacral foramina, with type 1 = lateral to the foramina, type 2 = transforaminal, type 3 = medial to the foramina. In addition, a transverse component may result in an H-shaped or U-shaped fracture pattern Femoral neck fractures typically occur as a result of high-energy mechanisms among non-geriatric patients. Complications, including femoral neck shortening, non-union, and avascular necrosis, are relatively common after the internal fixation of this fracture pattern. These complications have serious effects on young patients. The Pauwels classification, which is the first biomechanical.

Femoral Shaft Fx Type 0 - No comminution Type 1 - Insignificant butterfly fragment with transverse or short oblique fracture Type 2 - Large butterfly of less than 50% of the bony width, > 50% of cortex intact Type 3 - Larger butterfly leaving less than 50% of the cortex in contact Type 4 - Segmental comminution Winquist and Hansen 66A, 198 Proximal metaphyseal fractures of the hip are grouped into the 31A category ( Fig. 34.3a-c). Fig. 34.3 AO/OTA classification 2018 of intertrochanteric femur fractures. (a) 31A1: Simple pertrochanteric femur fracture with intact lateral wall. (b) 31A2: Multifragmentary pertrochanteric femur fracture with incompetent lateral wall Periprosthetic fractures are increasingly encountered in hip arthroplasty. The Vancouver classification system is widely used. Little knowledge exists regarding the association of the Vancouver classification with either cemented or uncemented stems. The aim was to analyse a series of fractures and determine associations. A series of consecutive patients over 8 years was identified including. Open fracture classification • Allows comparison of results • Provides guidelines on prognosis and treatment - Fracture healing, infection and amputation rate correlate with the degree of soft tissue injury • Gustilo upgraded to Gustilo and Anderson • AO open fracture classification • Host classification of open fractures 13

External fixation is the primary treatment option in children for femoral shaft fractures, such as open femoral or multiple fractures. One complication is refracture, which is the biggest limitation of fixation devices. This study aims to investigate the risk factors associated with refracture after the removal of external fixation devices and decrease the frequency of refracture There were 1.31 million hip fractures in 1990, 1 a figure predicted to rise to 6.26 million globally by 2050. 2 The estimated socio-economic costs represent 0.1% of the global burden of disease world-wide and 1.4% in the established market economies. 1 For patients themselves, sustaining a hip fracture is a potentially catastrophic event Hip fracture is a leading cause of profound morbidity in individuals aged 65 years and older, ranking in the top 10 causes of loss of disability-adjusted life-years for older adults. 37, 39, 40, 56, 74, 93, 94, 98, 197, 239 Worldwide, the number of people with hip fracture is expected to rise significantly due to the aging population and other.

PPT - Distal Femur Fractures PowerPoint Presentation, free

What is recovery from a femur shaft fracture like? 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. Pain Management. Pain after an injury or surgery is a natural part of the healing process Open fracture. A wound penetrates down to the broken bone. How is a broken femur treated? Because the femur is such a strong bone, a broken femur (excluding hip fractures) is rare. The healing. The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H.

Femoral Neck Fractures Presentation and Treatment | BoneCore Othopaedic Knowledge: Periprosthetic Hip Fractures

Femur Fracture Treatment How Long Will It Take to Recove

Open fractures are commonly categorized according to the Gustilo-Anderson classification, which was first proposed in 1976 and subsequently modified in 1984 (see Table 1 below). [ 12, 13, 14] The Tscherne classification is used for soft-tissue injuries (see Table 2 below) Open fractures of the diaphysis of the lower extremity in children. Treatment, results, and complications. J Bone Joint Surg Am. 1992; 74(2): 218-32. PMID: 1541616. Eiff MP, Hatch R. Femur and Pelvis Fractures: Femoral Shaft Fractures. Fracture Management for Primary Care. 3 rd ed. Philadelphia: Elsevier Saunders. 2018; 221-22 INTRODUCTION. The femur is the longest, strongest, and heaviest tubular bone in the human body and one of the principal load bearing bones in the lower extremity [].Fractures of the femoral shaft often result from high energy forces such as motor vehicle collisions [].Complications and injuries associated with midshaft femur fractures in the adult can be life-threatening and may include. Subtrochanteric femur fractures are an uncommon injury in orthopedics, but when they are encountered they may present difficulties in management. The purpose of this paper is to examine the recent literature on the epidemiology, classification, initial evaluation, and definitely treatment for these injuries. These will assist the physician to determine the optimal treatment strategy and avoid.

Open Fractures - Classification - Management - TeachMeSurger

An open fracture is any bony injury that is open to the outside world. Injuries of the fingers and toes are managed slightly differently to other open fractures, so will have their own page. Remember, the 'outside world' includes hollow organs, so a pelvic fracture with a rectal injury, for example, should be managed as open However, since the Garden classification describes only subcapital femur fractures, the more extensive AO classification, which includes also intertrochanteric fractures, was used in this study. The AO classification is hierarchical, as shown in Fig. 1 a, and is determined by the localization and configurations of the fracture lines

Hip Fractures: Relevant Anatomy, Classification, and

  1. ation . Type I: clean skin opening of <1cm, usually poke hole from inside to outside,
  2. ↑ Lawrence, VA, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med. 2002; 162(18):2053-7. ↑ Reavley P, et al. Randomised trial of the fascia iliaca block versus the '3-in-1' block for femoral neck fractures in the emergency department. Emerg Med J. 2014 Nov 27
  3. 4 ©UITH Surgery 2013 Femoral shaft fractures Winquist and Hansen Classification 24 AO classification 25 Other classifications 25 Sander's classification of intra-articula

Femur Fracture Pediatric Orthopaedic Society of North

The AO- coding of fractures is an alpha- numeric system, which describes the location of the fracture with first two numbers, followed by a letter and two numbers, which describe the morphological characteristic of the fracture: Location: The first number describes the bone (see the next image), for example: 1- Humerus. 2- Radius/ Ulna. 3- Femur Classification -Seinsheimer'sClassification -Seinsheimer's Type 1 Undisplaced <2mm Type 2 femur fracture - stiff reamers / anterior starting point Varus / Valgus deformity Open fractures. Patient Set upPatient Set up. TechniquesTechniques Nail recessed beneath the cartilag

Gustillo-Anderson Classification for Open Fractures: Type 1: Laceration <1cm in diameter. Type 2: Laceration >1cm <10cm without signs of high energy (Extensive soft tissue injury despite intact skin) Type 3: >10cm soft injury (All High Energy open fracture or those with gross contamination regardless of the size of the wound) Type 3 A: Adequate. An open fracture classification is given when the bone has broken in a manner that causes it to protrude through the skin. A closed fracture occurs when the broken bone remains beneath the skin. Of the four classifications, this is the easiest to determine with simple visual inspection A. Femoral neck fracture. The femur neck is a flattened pyramidal process of bone, connecting the head of the femur to the body. A femoral neck fracture occurs one to two inches from the hip joint. These fractures are common among older adults and can be related to osteoporosis. This type of fracture may cause a complication because the break. For Open fractures type IIIA and IIIB, Ganga Hospital Open Injury Severity Score (GHOISS) has similar sensitivity but higher specificity than MESS and hence, is a much better predictor of amputation. A score >14 is an indicator for amputation. Rule of 3 for Open fractures Antibiotics. 3 possible antibiotics: 1st generation cephalosporin +/