Winquist Classification and Hansen Classification

Winquist classification of femoral shaft fractures is a special type fracture managing method for classifying, investigating the fracture pattern, severity, degree, location, type, angulation, shortening – lengthening, comminution, rotation, displacement, and fracture angle of femoral shaft fractures are universally and widely accepted by orthopedic surgeons to assess the initial injury, plan management, and predict prognosis, to manage decision making, in determining whether a fracture requires an intramedullary nail or open reduction with internal fixation with steel screws, rods, plates, pins, or K-wires to hold the broken bones in the correct position even external fixation attaches a metal framework outside the limb and includes the Ilizarov method and an X-frame.

Femoral shaft fractures are frequently described in terms of the level at where occur in proximal, middle, distal third, and configuration of the fracture of spiral, transverse, oblique, segmental, comminuted.

Winquist Classification For Femoral Shaft Fractures

Case Discussion

• Type 0: no comminution or a small butterfly fragment less than 25 % of the bone.
• Type I: small butterfly fragment less than 25 % of the bone.
• Type II: butterfly fragment 50 % or less of the width of the bone
• Type III: comminuted with a large butterfly fragment greater than 50 % of the width
• Type IV: Severe comminution of an entire segment of bone (segmental comminution)

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References