Boyd and Griffin classified femoral fractures involving the region of the greater and lesser trochanters.
Primary Features |
Comminution |
Type |
simple linear fracture involving the greater and lesser trochanters (along the inter-trochanteric line) |
absent |
Type I |
comminuted fracture involving the greater and lesser trochanter; the main break is along the intertrochanteric line but with multiple cortical breaks |
present |
Type II |
fracture line at or just below the level of the lesser trochanter; may be mixed with features of Type I or Type II fractures |
absent or present |
Type III |
comminuted fracture involving the trochanters and extending into the femoral shaft; fracture lines are usually present in 2 or more planes |
present |
Type IV |
where:
• The Type III fracture can be classified as a subtrochanteric fracture.
Type |
Reduction |
Type I |
simple |
Type II |
variable; may be very difficult |
Type III |
usually more difficult than Type I or II |
Type IV |
may require fixation in 2 planes |
Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general
ICD-10: ,