Cooke and Newman classification

Changed by Yaïr Glick, 24 Jul 2017

Updates to Article Attributes

Body was changed:

The Cooke and Newman classification of periprosthetic hip fractures is a modification of the Bethea classification proposed several years earlier.

  • type I: explosion type fracture, comminuted around the stem of the implant; prosthesis is always loose and fracture is inherently unstable
  • type II: oblique fractures around stem; fracture pattern is stable, but prosthetic loosening ia usually present
  • type III: transverse fracture at the level of the tip of the stem; fracture is unstable, but prosthetic fixation is usually unaffected
  • type IV: fracture distal to the implant; fracture is unstable, but prosthetic fixation is usually unaffected

See also

  • -<strong>type I</strong>: explosion type fracture, comminuted around stem of implant; prosthesis is always loose and fracture is inherently unstable</li>
  • +<strong>type I</strong>: explosion type fracture, comminuted around the stem of the implant; prosthesis is always loose and fracture is inherently unstable</li>
  • -<strong>type III</strong>: transverse fracture at level of tip of stem; fracture is unstable, but prosthetic fixation is usually unaffected</li>
  • +<strong>type III</strong>: transverse fracture at the level of the tip of the stem; fracture is unstable, but prosthetic fixation is usually unaffected</li>
  • -<strong>type IV</strong>: fracture distal to implant; fracture is unstable, but prosthetic fixation is usually unaffected</li>
  • +<strong>type IV</strong>: fracture distal to the implant; fracture is unstable, but prosthetic fixation is usually unaffected</li>
  • +</ul><h4>See also</h4><ul>
  • +<li><a href="/articles/periprosthetic-fracture">periprosthetic fracture</a></li>
  • +<li><a href="/articles/periprosthetic-hip-fracture-classification-systems">periprosthetic hip fracture classification systems</a></li>

References changed:

  • 1. Cooke PH, Newman JH. Fractures of the femur in relation to cemented hip prostheses. The Journal of bone and joint surgery. British volume. 70 (3): 386-9. <a href="https://www.ncbi.nlm.nih.gov/pubmed/3372557">Pubmed</a> <span class="ref_v4"></span>
  • Cooke PH, Newman JH. Fractures of the femur in relation to cemented hip prostheses. The Journal of bone and joint surgery. British volume. 70 (3): 386-9. <a href="https://www.ncbi.nlm.nih.gov/pubmed/3372557">Pubmed</a> <span class="ref_v4"></span>

Sections changed:

  • Classifications

Systems changed:

  • Musculoskeletal
  • Trauma

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