Classification of Fielding and Magliato for Subtrochanteric Fractures

Description

Fielding and Magliato used a simple anatomic classification for subtrochanteric fractures. These are fractures at the level of the lesser trochanter or extending to 2 inches (5 cm) below the level of the lesser trochanter. The authors are from St. Luke's Hospital in New York City.

Upper Level for Zone	Lower Level for Zone	Type
horizontal line through the upper limit of the lesser trochanter	a horizontal line through the inferior limit of the lesser trochanter	Type 1
a horizontal line through the inferior limit of the lesser trochanter	a horizontal line drawn 1 inch (2.5 cm) below the inferior limit of the lesser trochanter	Type 2
a horizontal line drawn 1 inch (2.5 cm) below the inferior limit of the lesser trochanter	a horizontal line drawn 2 inches (5 cm) below the inferior limit of the lesser trochanter	Type 3

Fracture Type	Classification
simple transverse	according to zones, above
oblique, spiral, comminuted	classified based on the level of the major portion of the fracture

Excluded: true fractures of the femoral shaft amenable to placement with an intramedullary nail.

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Description

Specialty

ICD-10