| What defines a Type II fracture in the Garden classification? | Complete fracture without displacement of the fracture fragments | ∙ Type I: Incomplete fracture/Valgus impacted ∙ Type II: Complete fracture without displacement of the fracture fragments ∙ Type III: Complete fracture with partial displacement of the fracture fragments ∙ Type IV: Fracture is complete with total displacement of the fracture fragments ∙ In situ internal fixation at the earliest possible ∙ Three 6.5 cancellous screws (Threads crossing fracture site) should be placed in inverted triangle or triangular configuration ∙ Closed reduction in anatomical position ∙ If closed reduction is not possible then open reduction should be done ∙ Fracture fixation is performed by either multiple screw fixation or by Dynamic Hip Screw (DHS) with de-rotation screw GARDEN CLASSIFICATION VALGUS/UNDISPLACED | 57 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645315_4_fracture_neck_of_femur.pdf | ∙ Type I: Incomplete fracture/Valgus impacted ∙ Type II: Complete fracture without displacement of the fracture fragments ∙ Type III: Complete fracture with partial displacement of the fracture fragments ∙ Type IV: Fracture is complete with total displacement of the fracture fragments ∙ In situ internal fixation at the earliest possible ∙ Three 6.5 cancellous screws (Threads crossing fracture site) should be placed in inverted triangle or triangular configuration ∙ Closed reduction in anatomical position ∙ If closed reduction is not possible then open reduction should be done ∙ Fracture | 1 | page=1,block=14 | 0.700 | valid |
| What distinguishes a Type III fracture in the Garden classification? | Complete fracture with partial displacement of the fracture fragments | ∙ Type I: Incomplete fracture/Valgus impacted ∙ Type II: Complete fracture without displacement of the fracture fragments ∙ Type III: Complete fracture with partial displacement of the fracture fragments ∙ Type IV: Fracture is complete with total displacement of the fracture fragments ∙ In situ internal fixation at the earliest possible ∙ Three 6.5 cancellous screws (Threads crossing fracture site) should be placed in inverted triangle or triangular configuration ∙ Closed reduction in anatomical position ∙ If closed reduction is not possible then open reduction should be done ∙ Fracture fixation is performed by either multiple screw fixation or by Dynamic Hip Screw (DHS) with de-rotation screw GARDEN CLASSIFICATION VALGUS/UNDISPLACED | 134 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645315_4_fracture_neck_of_femur.pdf | ∙ Type I: Incomplete fracture/Valgus impacted ∙ Type II: Complete fracture without displacement of the fracture fragments ∙ Type III: Complete fracture with partial displacement of the fracture fragments ∙ Type IV: Fracture is complete with total displacement of the fracture fragments ∙ In situ internal fixation at the earliest possible ∙ Three 6.5 cancellous screws (Threads crossing fracture site) should be placed in inverted triangle or triangular configuration ∙ Closed reduction in anatomical position ∙ If closed reduction is not possible then open reduction should be done ∙ Fracture |
| What is the defining feature of a Type IV fracture in the Garden classification? | Fracture is complete with total displacement of the fracture fragments | ∙ Type I: Incomplete fracture/Valgus impacted ∙ Type II: Complete fracture without displacement of the fracture fragments ∙ Type III: Complete fracture with partial displacement of the fracture fragments ∙ Type IV: Fracture is complete with total displacement of the fracture fragments ∙ In situ internal fixation at the earliest possible ∙ Three 6.5 cancellous screws (Threads crossing fracture site) should be placed in inverted triangle or triangular configuration ∙ Closed reduction in anatomical position ∙ If closed reduction is not possible then open reduction should be done ∙ Fracture fixation is performed by either multiple screw fixation or by Dynamic Hip Screw (DHS) with de-rotation screw GARDEN CLASSIFICATION VALGUS/UNDISPLACED | 215 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645315_4_fracture_neck_of_femur.pdf | ∙ Type I: Incomplete fracture/Valgus impacted ∙ Type II: Complete fracture without displacement of the fracture fragments ∙ Type III: Complete fracture with partial displacement of the fracture fragments ∙ Type IV: Fracture is complete with total displacement of the fracture fragments ∙ In situ internal fixation at the earliest possible ∙ Three 6.5 cancellous screws (Threads crossing fracture site) should be placed in inverted triangle or triangular configuration ∙ Closed reduction in anatomical position ∙ If closed reduction is not possible then open reduction should be done ∙ Fracture |
| What is one of the recommended first aid measures for femoral neck fractures during transport? | Immobilisation of (Splintage including hip, knee & ankle to minimize movements at fracture site during transport) | ∙ Femoral neck fractures are intracapsular fractures ∙ Severe pain in the hip after fall/ Road Traffic Accident (RTA) ∙ Limb in a deformed position (usually external rotation) and shortening ∙ Unable to move and stand on the injured limb ∙ Bruising and swelling around the hip ∙ Limb is short and externally rotated ∙ Patient unable to stand or do active straight leg raising ∙ Marked tenderness at hip joint ∙ Pain relief ∙ Immobilisation of (Splintage including hip, knee & ankle to minimize movements at fracture site during transport) ∙ X ray Pelvis with bilateral hips- AP ∙ Involved hip with thigh – AP (with hips in internal rotation to see the entire neck properly) and lateral view ∙ Osteoporosis ∙ Advancing age ∙ Increased number of comorbidities ∙ Increased dependency with Activities of Daily Living (ADL) This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. | 425 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645315_4_fracture_neck_of_femur.pdf | ∙ Femoral neck fractures are intracapsular fractures ∙ Severe pain in the hip after fall/ Road Traffic Accident (RTA) ∙ Limb in a deformed position (usually external rotation) and shortening ∙ Unable to move and stand on the injured limb ∙ Bruising and swelling around the hip ∙ Limb is short and externally rotated ∙ Patient unable to stand or do active straight leg raising ∙ Marked tenderness at hip joint ∙ Pain relief ∙ Immobilisation of (Splintage including hip, knee & ankle to minimize movements at fracture site during transport) ∙ X ray Pelvis with bilateral hips- AP ∙ Involved hip with |
| What is the characteristic of a Type I fracture in the Garden classification? | Incomplete fracture/Valgus impacted | ∙ Type I: Incomplete fracture/Valgus impacted ∙ Type II: Complete fracture without displacement of the fracture fragments ∙ Type III: Complete fracture with partial displacement of the fracture fragments ∙ Type IV: Fracture is complete with total displacement of the fracture fragments ∙ In situ internal fixation at the earliest possible ∙ Three 6.5 cancellous screws (Threads crossing fracture site) should be placed in inverted triangle or triangular configuration ∙ Closed reduction in anatomical position ∙ If closed reduction is not possible then open reduction should be done ∙ Fracture fixation is performed by either multiple screw fixation or by Dynamic Hip Screw (DHS) with de-rotation screw GARDEN CLASSIFICATION VALGUS/UNDISPLACED | 10 | definition | 0.940 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645315_4_fracture_neck_of_femur.pdf | ∙ Type I: Incomplete fracture/Valgus impacted ∙ Type II: Complete fracture without displacement of the fracture fragments ∙ Type III: Complete fracture with partial displacement of the fracture fragments ∙ Type IV: Fracture is complete with total displacement of the fracture fragments ∙ In situ internal fixation at the earliest possible ∙ Three 6.5 cancellous screws (Threads crossing fracture site) should be placed in inverted triangle or triangular configuration ∙ Closed reduction in anatomical position ∙ If closed reduction is not possible then open reduction should be done ∙ Fracture |
| What type of fractures are femoral neck fractures classified as? | intracapsular fractures | ∙ Femoral neck fractures are intracapsular fractures ∙ Severe pain in the hip after fall/ Road Traffic Accident (RTA) ∙ Limb in a deformed position (usually external rotation) and shortening ∙ Unable to move and stand on the injured limb ∙ Bruising and swelling around the hip ∙ Limb is short and externally rotated ∙ Patient unable to stand or do active straight leg raising ∙ Marked tenderness at hip joint ∙ Pain relief ∙ Immobilisation of (Splintage including hip, knee & ankle to minimize movements at fracture site during transport) ∙ X ray Pelvis with bilateral hips- AP ∙ Involved hip with thigh – AP (with hips in internal rotation to see the entire neck properly) and lateral view ∙ Osteoporosis ∙ Advancing age ∙ Increased number of comorbidities ∙ Increased dependency with Activities of Daily Living (ADL) This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. | 29 | definition | 0.940 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645315_4_fracture_neck_of_femur.pdf | ∙ Femoral neck fractures are intracapsular fractures ∙ Severe pain in the hip after fall/ Road Traffic Accident (RTA) ∙ Limb in a deformed position (usually external rotation) and shortening ∙ Unable to move and stand on the injured limb ∙ Bruising and swelling around the hip ∙ Limb is short and externally rotated ∙ Patient unable to stand or do active straight leg raising ∙ Marked tenderness at hip joint ∙ Pain relief ∙ Immobilisation of (Splintage including hip, knee & ankle to minimize movements at fracture site during transport) ∙ X ray Pelvis with bilateral hips- AP ∙ Involved hip with |