Treatment of a femoral neck fracture combined with ipsilateral femoral head and intertrochanteric fractures: A case report

Figure 1 Classification of femoral head and femoral neck fractures. A: Preoperative sagittal computed tomography (CT) revealed femoral head fracture and hip dislocation, which were Pipkin type III fractures; B: Preoperative three-dimensional CT revealed a transcervical femoral neck fracture with a Pauwels angle greater than 70°, which was classified as AO/OTA B2.3.

Figure 2 Preoperative and intraoperative images. A: Front view of preoperative 3-dimensional (3D) computed tomography (CT); B: Lateral view of preoperative 3D CT; C: Back view of preoperative 3D CT. 3D CT revealed that the greater trochanter was fractured and that the lesser trochanter was intact, belonging to AO/OTA A1.1; D: Surgical position; E: Surgical incision; F: Intraoperative Kirschner wire temporary fixation; G: Lateral radiograph from intraoperative fluoroscopy; H: Anteroposterior radiograph from intraoperative fluoroscopy.

Figure 3 Postoperative follow-up X-ray. A: Anteroposterior X-ray one week after surgery; B: Lateral X-ray one week after surgery; C: Anteroposterior X-ray one month after surgery; D: Lateral X-ray one month after surgery; E: Anteroposterior X-ray one year after surgery; F: Lateral X-ray one year after surgery.

Figure 4 Computed tomography revealed no necrosis of the femoral head or osteoarthritis of the hip joint.

Figure 5 Walking photos (front and side) of the patient during the one-year follow-up after the operation. The affected limb can support the body and walk normally.