PMC8046469_01
Post-operative radiograph after the index operation with PFNA device, 3 years prior to current presentation.
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F1
After an initial uneventful post-operative recovery (Fig. 1), she returned 13 months post-fixation with groin pain, with radiographs confirming avascular necrosis of the femoral head with resultant cut-in of the blade (Fig. 2).
(a and b) Post-operative photographs of the extracted locking screw. Two sides of the screw head were bured burred off to create a more rectangular shape. The rest of the screw was observed to be structurally intact.
JOCR-11-12-g003.jpg
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F3
The screw was observed to be otherwise intact with no broken sections (Fig. 3a, 3b).
Post-operative radiograph after removal of implants and total hip arthroplasty.
JOCR-11-12-g004.jpg
PMC8046469_01_JOCR-11-12-g004.jpg
F4