Classification and functional assessment of the proximal femoral fractures
- VernacularTitle:股骨近端骨折的分类与功能评价
- Author:
Liqiang GU
;
- Publication Type:Journal Article
- Keywords:
Proximal femur;
Fracture;
Classification;
Functional assessment
- From:
Chinese Journal of Orthopaedic Trauma
2004;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Proximal femoral fractures mainly include femoral neck fracture, intertrochanteric fracture, and femoral head fracture. The most widely used and accepted classification methods for proximal femoral fractures are Gardens classification of femoral neck fracture(1961), Jensens modification of Evansclassification of inertro chanteric fracture (Evans Jensens classification,1975), Pipkins classification of femoral head fracture (1957), and AO comprehensive classification (1990). There are 3 types, 9 groups, and 27 subgroups in AO classification of proximal femoral fractures, in which the intertrochanteric ones belong to 31 A , the femoral neck ones to 31 B , and the femoral head ones to 31 C. Because of the complexity of proximal femoral fractures, discrimination between the stable ones and unstable ones is very important. For functional assessment of treatment of proximal femoral fractures, Harriship rating scale system(1969)and Sanderstraumatic hip rating scale modified from the Hospital for Special Surgery (HSS) hip rating score (1988)are mainly used.