Winquist and Hansen classification of femoral shaft fractures - fracture of thigh bone
Winquist and Hansen classification, usually abbreviated by the name of the first author, divides fractures of femoral shaft into four grades according to the amount of bone comminution. Sometimes, grade V is reffered to as a segmental bone loss. However the original classification contains only four grades.
| Grade | Description |
|---|---|
| Grade I | no comminution or minimal comminution with a small wedge fragment < 25% of the circumference of the bone |
| Grade II | comminuted fracture with a wedge fragment <50% of the circumference of the bone |
| Grade III | comminuted fracture with a large wedge fragment >50% but less than 100% of the circumference of the bone |
| Grade IV | segmental comminution with no abutment of main fragments |
References:
1. 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 Apr;66(4):529–39.
2. Grosse A, Christie J, Taglang G, Court-Brown C, McQueen M. Open adult femoral shaft fracture treated by early intramedullary nailing. J Bone Joint Surg Br. 1993 Jul 1;75-B(4):562–5.
Images:
Winquist Grade I to IV (left to right)
Updated 7/10/2013 20:30 by Lambert