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. 2025 Aug 18;12:1554603. doi: 10.3389/fsurg.2025.1554603

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© 2025 Shakya, Zhang, Wen, Wen and Cheng.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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X-ray images showing hip joints at different stages. Image A shows a normal hip. Image B displays screws inserted into the right hip. Image C shows more screws in the same hip. Image D illustrates a right hip replacement with a prosthesis. — 40-years old man sustained a high-speed vehicle accident (A) the pre-operative x-ray films revealed a pipkin III fracture involving the femoral head and neck on the left side. (B) The post-operative radiograph displayed internal fixation using three-cannulated screws. (C)Follow-up radiographs taken 18 months later indicated obvious implant failure and femoral head necrosis. (D) A postoperative radiograph taken two months after total hip arthroplasty is shown.