Cooke and Newman classification

Hip fracture

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2].

Overview

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

• Hip fracture