lower limb fracture

1. Dr. Ashish J Prabhakar
Asst. Professor
Dept. Musculoskeletal Sciences
DVVPF’s College of Physiotherapy, Ahmednagar

2.  Type A Stable
 A1: Fractures of the pelvis not involving the ring;
avulsion injuries
 A2: Stable, minimal displacement of the ring

3.  Type B: Rotationally unstable, vertically stable
 B1: External rotation instability; open-book injury
 B2: LC injury; internal rotation instability; ipsilateral only
 B3: LC injury; bilateral rotational instability (bucket
handle)

4.  Type C: Rotationally, and vertically unstable
 C1: Unilateral injury
 C2: Bilateral injury, one side rotationally unstable, with
the contralateral side vertically unstable
 C3: Bilateral injury, both sides rotationally and vertically
unstable with an associated acetabular fracture

5. Type I: Hip dislocation with fracture of the femoral head
inferior to the fovea capitis femoris
Type II: Hip dislocation with fracture of the femoral head
superior to the fovea capitis femoris

6. Type III: Type I or II injury associated with fracture of the
femoral neck
Type IV: Type I or II injury associated with fracture of the
acetabular rim

7.  Type1- undispalced, uncommunited
 Type 2- displaced, minimal communition, lesser
trochandric #, with varus
 Type 3- displaced, communited, grater trochandric #,
varus
 Severe communition, subtrochandric extension, also
reverse oblique # line.

8.  Type I: At the level of the lesser trochanter
 Type II: <2.5 cm below the lesser trochanter
 Type III: 2.5 to 5 cm below the lesser trochanter

9. Thank You