Femoral Fractures

Femoral Fractures
• Femoral fractures could be in the proximal,
midshaft or distal fragments.
• Each of the above fractures could be transverse,
oblique, spiral, segmental or comminuted.
• Based on the degree of comminution, Winquist
and Hansen have described four types:
Type I: None or significant comminution.
Type II: < 50 percent comminution.
Type III: 50-100 percent comminution of the
cortex.
Type IV: No contact between major fragments.
• AO/ASIF classification.
Type A: Simple fracture (transverse/oblique/
spiral/minimal comminution).