33-Femur Distal

The subgroups represent a variation within the group and the one illustrated is indicated with red in the text.

Extra-articular fracture, simple

A1 Extra-articular fracture, simple
.1 apophyseal
.2 metaphyseal oblique or spiral
.3 metaphyseal transverse

A2 Extra-articular fracture, metaphyseal wedge
.1 intact
.2 fragmented, lateral
.3 fragmented, medial

A3 Extra-articular fracture, metaphyseal complex
.1 with an intermediate split segment
.2 irregular, limited to the metaphysis
.3 irregular, extending into the diaphysis

Partial articular fracture

B1 Partial articular fracture, lateral condyle, sagittal
.1 simple, through the notch
.2 simple, through the load-bearing surface
.3 multifragmentary

B2 Partial articular fracture, medial condyle, sagittal
.1 simple, through the notch
.2 simple, through the load-bearing surface
.3 multifragmentary

B3 Partial articular fracture, frontal
.1 anterior and laterl flake fracture
.2 unicondylar posterior (Hoffa)
.3 bicondylar posterior

Complete articular fracture

C1 Complete articular fracture, articular simple, metaphyseal simple
.1 T-or Y-shaped, with slight displacement
.2 T- or Y-shaped, with marked displacement
.3 T-shaped epiphyseal

C2 Complete articular fracture, articular simple, metaphyseal multifragmentary
.1 with an intact wedge
.2 with a fragmented wedge
.3 complex

C3 Complete articular fracture, multifragmentary
.1 metaphyseal simple
.2 metaphyseal multifragmentary
.3 metaphysio-diaphyseal multifragmentary

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