Winquist-Hansen Classification (Femoral Shaft)

Winquist-Hansen classification (Winquist 1984) of a femoral shaft fracture (types 0-IV), by the extent of comminution and the cortical contact between the two main fragments.

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

Example

Winquist-Hansen type
Type III - large fragment (> 50% width)

Result: Winquist-Hansen type III: a large fragment (over 50% of the bone width); less than 50% cortical contact remains.

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

What the result means

Type 0
No comminution (transverse or short oblique).
Type I
Small butterfly fragment (< 25% of the bone width); does not affect stability.
Type II
Larger butterfly (< 50% width); at least 50% cortical contact between the main fragments.
Type III
Large fragment (> 50% width); less than 50% cortical contact remains.
Type IV
Circumferential comminution over a segment; no cortical contact.

What you enter

  • Winquist-Hansen type
How this is calculated

Winquist RA, Hansen ST Jr, Clawson DK. Closed intramedullary nailing of femoral fractures. A report of five hundred and twenty cases. J Bone Joint Surg Am. 1984;66(4):529-539. 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.