Skip to main content
. 2025 Aug 18;12:1554603. doi: 10.3389/fsurg.2025.1554603

Figure 4.

Three-panel image showing hip joints. Panel A is a 3D reconstructed image highlighting bilateral Pipkin III fracture-dislocation of the femoral head and neck. Panel B Postoperative radiographs revealing open reduction and internal fixation with three cannulated screws on the right hip and primary Total Hip Arthroplasty of the left hip. Panel C Plain radiograph showing right-sided femoral head avascular necrosis with progressive shrinkage and collapse of the acetabulum dome within three years.

A 35-year-old man's (A) pre-operative 3D CT scan of the hip joint showed bilateral Pipkin III fracture-dislocation of the femoral head and neck. The right femoral head had two-part irregular fractures and a sub capital femoral neck fracture. The left hip had a comminuted femoral head fracture and subcapital neck fracture. (B) Postoperative radiographs revealing open reduction and internal fixation with three cannulated screws on the right hip and primary Total Hip Arthroplasty of the left hip. (C) Plain radiograph showing right-sided femoral head avascular necrosis with progressive shrinkage and collapse of the acetabulum dome within three years.