orthopaedics
Garden Classification (Femoral Neck Fracture)
Classifies femoral neck fractures by displacement. Guides surgical decision: internal fixation (Garden I-II) vs hemiarthroplasty/THA (Garden III-IV).
Score interpretation
Garden I-II: Non-displaced fracture
→ Dynamic hip screw (DHS) or cannulated screws in young patients; consider hemiarthroplasty in elderly
Garden III: Partially displaced
→ Cemented hemiarthroplasty in elderly; fixation in young if <6h from injury
Garden IV: Fully displaced
→ Cemented hemiarthroplasty (elderly) or THA (active patients); high AVN risk with fixation
Interpretation bands for the Garden Classification. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
- Cetuximab · Anti-EGFR Monoclonal Antibody — Head and Neck Cancer
- Cisplatin · Platinum Chemotherapy — Head and Neck Cancer
- Methotrexate · Chemotherapy / Immunosuppressant — Head and Neck / Granulomatosis
- Pembrolizumab (Head and Neck SCC) · PD-1 Inhibitor
- Nivolumab (Head and Neck SCC) · PD-1 Inhibitor
- Co-amoxiclav (Open Fracture Antibiotic Prophylaxis) · Beta-lactam / Beta-lactamase Inhibitor Combination
Pathways
- Hip Fracture Pathway · NICE CG124; BPT
- Cauda Equina Syndrome · Society of British Neurological Surgeons; BOA — Best Practice
- Knee Soft Tissue Injury (ACL / MCL / Meniscus) · BOA; Royal College of Surgeons
- Shoulder Dislocation · BOA; RCEM
- Scaphoid Fracture · BOA; BSSH
- Pelvic Fracture · BOA; ATLS; NICE NG39
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.