Cooke and Newman classification
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2].
The “hip” joint is known as a ball-and-socket joint. It allows the femur bone to bend and rotate at the pelvis. Comparing to the injuries to the knee, ankle, and shoulder which are well documented, injuries to the hip, pelvis, and thigh get little attentions due to their lower prevalence. A hip fracture is a known as a fracture of the upper quarter of the femur bone while any other types of injuries to the socket, or acetabulum, itself is not considered a “hip fracture.” Management of fractures to the socket is a completely different consideration. The hip fracture count as a serious problems associated with serious and life-threatening complications. Hip fractures most commonly occur due to the:
Fall to the side of the hip A direct blow to the side of the hip Other medical conditions such as osteoporosis, cancer, or stress injuries affecting the strength. During fracture the most common site of fracture are:
The head of the femur The neck of the femur Between or below the greater trochanter and the lesser trochanters
Cooke and Newman (modified Bethea) classification n
| Cooke and Newman (modified Bethea) classification | |
|---|---|
| Type I | explosion type fracture, comminuted around the stem of the implant
the prosthesis is always loose and the fracture is inherently unstable |
| Type II | oblique fractures around the stem
fracture pattern is stable, but prosthetic loosening is usually presente |
| Type III | transverse fracture at the level of the tip of the stem
the fracture is unstable, but the prosthetic fixation is usually unaffected |
| Type IV | fracture distal to the implant
the fracture is unstable, but the prosthetic fixation is usually unaffected |
Related Chapters
References
- ↑ Collin PG, D’Antoni AV, Loukas M, Oskouian RJ, Tubbs RS (January 2017). “Hip fractures in the elderly-: A Clinical Anatomy Review”. Clin Anat. 30 (1): 89–97. doi:10.1002/ca.22779. PMID 27576301.
- ↑ Rocos B, Whitehouse MR, Kelly MB (May 2017). “Resuscitation in hip fractures: a systematic review”. BMJ Open. 7 (4): e015906. doi:10.1136/bmjopen-2017-015906. PMC 5623376. PMID 28473523.
- ↑ Bhandari M, Swiontkowski M (November 2017). “Management of Acute Hip Fracture”. N. Engl. J. Med. 377 (21): 2053–2062. doi:10.1056/NEJMcp1611090. PMID 29166235.
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