Garden Classification (femoral neck)

Garden classification of a femoral-neck fracture (I–IV) by completeness and displacement; I–II stable/nondisplaced, III–IV unstable/displaced.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Displacement pattern
Complete, partially displaced (III)

Result: Garden Grade III — complete fracture, partially displaced (trabecular angle altered). Unstable (III–IV).

The tool opens with these values already filled in. Replace them with your own.

What the result means

Grades
I incomplete/valgus-impacted, II complete nondisplaced, III complete partially displaced, IV complete fully displaced — graded on the AP radiograph.
Grouping
I–II stable/nondisplaced vs III–IV unstable/displaced — the split that drives internal fixation vs arthroplasty. The two-way grouping is the more reliable read.

What you enter

  • Displacement pattern
How this is calculated

Garden RS. Low-angle fixation in fractures of the femoral neck. J Bone Joint Surg Br. 1961;43-B(4):647-663. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.