Garden's 1964 paper investigates why some subcapital femoral neck fractures unite and others don't, framing the problem as mechanical rather than biological. Using a 250-fracture series and a clinical trial of crossed screw fixation in 100 displaced fractures, it asks: what determines inherent fracture stability, and how can it be restored when lost?
Garden's principles remain fundamental to femoral neck fracture surgery - assess cortical buttress integrity, achieve anatomic reduction, and ensure proper implant positioning. The study's emphasis on technical precision over implant selection continues to influence modern fixation strategies.
Garden's 1964 paper investigates why some subcapital femoral neck fractures unite and others don't, framing the problem as mechanical rather than biological. Using a 250-fracture series and a clinical trial of crossed screw fixation in 100 displaced fractures, it asks: what determines inherent fracture stability, and how can it be restored when lost?
Garden's principles remain fundamental to femoral neck fracture surgery - assess cortical buttress integrity, achieve anatomic reduction, and ensure proper implant positioning. The study's emphasis on technical precision over implant selection continues to influence modern fixation strategies.