Orthopedic Fracture Classification - Pelvic and Lower Limbs

Letournel Classification Acetabular Fractures:

 • Simple Types: Anterior column, Anterior wall, Posterior column, Posterior wall, Transverse

 • Associated Types: T.type, Transverse + posterior wall, Posterior column + posterior wall, Anterior + posterior hemitransverse, Both columns

Pipkin Classification of Femoral Head Fracture:

 • Type I - Below fovea/ligamentum (small)

 • Type II - Above fovea/ ligamentum (larger)

 • Type Ill - Type I or II with associated femoral neck (high risk of AVN)

 • Type IV - Type I or II with associated acetabular 

Garden Classification of Femoral Neck:

 • Garden I - Fracture incomplete and minimally displaced

 • Garden II - Fracture complete and nondisplaced

 • Garden Ill - Fracture complete and partially displaced

 • Garden IV - Fracture complete displaced with no engagement of the 2 principal fragment

Evan Classification of Intertrochanteric Fracture:

 • Evan I - Undisplaced 2 parts fracture

 • Evan 2 - Displaced 2 parts fracture

 • Evan 3 - Displaced 3 parts fracture with posteromedial comminution

 • Evan 4 - Displaced 3 parts fracture with large posteromedial comminuted fragment

 • Evan 5 - Displaced 4 parts fracture with comminution involving both trochanters

Russel Taylor Classification of Subtrochanteric Fractures:

 • Type IA, Type IB, Type IIA, Type IIB

Winquist Classification of Femoral Shaft Fracture:

 • Type I. Tiny cortical fragment

 • Type II. Butterfly fragment is large but there is still 50% of cortical intact between the main fragments

 • Type III. Butterfly fragment involves more than 50% of the bone width 

 • Type IV. Segmental fractures

Schatzker Classification of Tibia Plateau Fractures:

 • Type I: Lateral tibial plateau w/o depression

 • Type II: Lateral tibial plateau with depression

 • Type Ill: Focal depression with no associated split

 • Type IV: Medial tibial plateau, with or without depression

 • Type V: Bicondylar tibial plateau 

 • Type VI: Tibial plateau fracture with diaphyseal discontinuity

Sanders Classification of Calcaneal Fractures:

   I - Non-displaced (displacement < 2 mm).

   II - Single intrarticular fracture that divides the calcaneus into 2 pieces.

       IIA - Occurs on lateral aspect of calcaneus.

       IIB - Occurs on central aspect of calcaneus.

       IIC - Occurs on medial aspect of calcaneus.

   III Consist of 2 intrarticular fractures that divide the calcaneus into 3 articular pieces.

       IIIAB - 2 lines are present, 1 lateral and 1 central.

       IIIAC - 2 lines are present, 1 lateral and 1 medial.

       IIIBC - 2 lines are present, 1 central and 1 medial.

   IV - Consist of fracture with more than 3 intraarticular fractures.

Lisfranc Classification of Tarsometatarsal Injury:

 • Homolateral

 • Isolated

 • Divergent



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