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

Table 1 Timeline

Time	Clinical finding	Treatment
Two hours before hospital admission	Pain in the chest, back, and right hip, as well as mobility impairment resulting from a car accident	Ambulance to hospital
The day of admission	A compression fracture of the 8th thoracic vertebra, a right femoral head fracture (pipkin III, Figure 1A), a right femoral neck fracture (AO/OTA B2.3, Figure 1B), a right intertrochanteric fracture (AO/OTA A1.1, Figure 2A-C), and a posterior dislocation of the right hip	The patient underwent right tibial tubercle traction and received various symptomatic treatments
The 7th day of admission	Ipsilateral fractures of the femoral head, femoral neck, and intertrochanteric region	Operation
3 days after the operation	The wound was slightly deep and the right lower limb was swollen	Start isometric training of the quadriceps while in bed
1 week after the operation	The pain in the wound had begun to ease and the swelling in the lower limbs had been reduced	Knee joint flexion and extension exercises were initiated
1 month after the operation	X-rays and CT scans indicated that the fracture was not displaced and that the internal fixation remained secure	Walk with crutches
1 year after the operation	X-rays and CT scans demonstrated that the fractures had healed and no signs of avascular necrosis of the femoral head or osteoarthritis	The patient could already walk normally

CT: Computed tomography.