PMC9835845_01
AP and lateral view X-rays of the right hip showing right displaced neck of femur fracture. AP: anteroposterior
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FIG1
Imaging in the form of X-rays was ordered and taken, revealing a right displaced neck of femur fracture (Figure 1) grade 4 when referring to Garden classification.
AP and lateral view X-rays of the right hip showing post close reduction and internal fixation with cannulated screws. AP: anteroposterior
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FIG2
The patient was taken on the 5th of March 2018 to the operating room where he underwent close reduction in valgus position and internal fixation with three cannulated screws with a size of 7.3 in reverse triangular fashion (Figure 2).
AP and lateral view follow-up X-rays of the right hip showing accepted position of screws with no displacement. AP: anteroposterior
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FIG3
Anteroposterior and lateral X-rays of the hip were obtained and showed the accepted position of screws and no displacement at the fracture site (Figure 3).
AP and lateral view follow-up X-rays of the right hip showing no signs of callus formation or union. AP: anteroposterior
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FIG4
In his second visit to our clinic on the 22nd of April 2018, X-rays still showed no signs of union (Figure 4), and partial weight-bearing with crutches was initiated.
AP and lateral view X-rays of the right hip revealing signs of union in the superior aspect of the neck. AP: anteroposterior
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FIG5
In his third visit on the 17th of May 2018, X-rays revealed signs of a union in the superior aspect of the neck (Figure 5), which was followed by a later visit that showed more signs of healing as well (Figure 6).
AP and lateral view X-rays of the right hip showing more signs of healing. AP: anteroposterior
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FIG6
In his third visit on the 17th of May 2018, X-rays revealed signs of a union in the superior aspect of the neck (Figure 5), which was followed by a later visit that showed more signs of healing as well (Figure 6).
AP and lateral view X-rays of the right hip showing complete healing of the fracture with well-positioned implant with no screw cut off and no signs of head of femur avascular necrosis. AP: anteroposterior
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FIG7
X-rays showed complete healing of the fracture with a well-positioned implant with no screw cut off and no signs of head of femur avascular necrosis (AVN) (Figure 7).
AP and lateral view X-rays of the right hip post implant removal. AP: anteroposterior
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FIG8
The patient was booked for screw removal as an elective day case and underwent implant removal on the 29th of April 2021 (Figure 8).
AP and lateral view follow-up X-rays of the right hip showing no signs of right head of femur AVN and acceptable bone that formed filling the screw tract. AP, anteroposterior; AVN, avascular necrosis
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FIG9
During follow-up after a few months after the first visit to the clinic, the images showed no signs of right head of femur AVN, and acceptable bone formed filling the screw tract (Figure 9).