Fragmentary segmental fractures result from very severe injury to the femur. These fractures normally result from high energy motor vehicle trauma and are often open fractures.
1. Proximal diaphyseal-metaphyseal (AO/OTA 32C3(i))

(AO/OTA 32C3(i))
Multifragmentary segmental fractures of the proximal diaphyseal-metaphyseal femoral shaft are classified as 32C3(i) fractures.
2. Pure diaphyseal (AO/OTA 32C3(j))

(AO/OTA 32C3(j))
Multifragmentary segmental fractures of the pure diaphyseal femoral shaft are classified as 32C3(j) fractures.

(AO/OTA 32C3(j))
3. Distal diaphyseal-metaphyseal (AO/OTA 32C3(k))

(AO/OTA 32C3(k))
Multifragmentary segmental fractures of the distal diaphyeal-meatphyseal femoral shaft are classified as 32C3(k) fractures.