case_images: PMC10823831_01
case_images: The images show the radiological outcomes throughout the surgical journal (a) Intra-operative images of case one. The radiograph shows the hips post-reduction before fixation (b) Demonstrating the free non-vascularized (NVFG) superior and lateral to the screw of the dynamic hip screw (DHS) (c) The 6-month post-operative radiograph of the hip demonstrating the NVFG and DHS for a pathological femoral neck fracture in a patient with fibro-dysplasia.
case_images: JOCR-14-92-g001.jpg
case_images: PMC10823831_01_JOCR-14-92-g001.jpg
case_images: F1
case_images: Radiological examination revealed a pathological fracture through a large lytic lesion in the femoral neck (Fig. 1a). Fixation was performed using a dynamic hip screw (DHS) and NVFG (Fig. 1b). Radiological appearance at 6 months was reassuring (Fig. 1c).
case_images: PMC10823831_02
case_images: Radiographs 6 weeks postoperatively in case two confirming no evidence of healing, with further collapse of the fracture and backing out of the cannulated screws.
case_images: JOCR-14-92-g002.jpg
case_images: PMC10823831_02_JOCR-14-92-g002.jpg
case_images: F2
case_images: X-rays confirmed no evidence of healing, with further collapse of the fracture and backing out of the cannulated screws (Fig. 2).
case_images: Four-year post-fixation with strut and dynamic hip screw (DHS) in case two demonstrating the fibular strut and DHS in an excellent position following two falls.
case_images: JOCR-14-92-g003.jpg
case_images: PMC10823831_02_JOCR-14-92-g003.jpg
case_images: F3
case_images: A revision of the fixation with a DHS and a NVFG was therefore performed (Fig. 3).
case_images: 11-year post-operative image of case two demonstrating the integrated fibular strut and dynamic hip screw.
case_images: JOCR-14-92-g004.jpg
case_images: PMC10823831_02_JOCR-14-92-g004.jpg
case_images: F4
case_images: Radiological appearance at 13 years postoperatively (Fig. 4) shows evidence of delayed avascular necrosis with minimal arthritic change, and the corresponding new OHS at this point was 19.
case_images: PMC10823831_03
case_images: An intracapsular sub-capital left-sided fractured neck of femur in case three following conservative managed owing to 42% BSA burns.
case_images: JOCR-14-92-g005.jpg
case_images: PMC10823831_03_JOCR-14-92-g005.jpg
case_images: F5
case_images: Owing to the extent and location of his burns, the fractured NOF was managed conservatively (Fig. 5).
case_images: 30-month post-vascularized fibular graft in case three.
case_images: JOCR-14-92-g006.jpg
case_images: PMC10823831_03_JOCR-14-92-g006.jpg
case_images: F6
case_images: His X-rays at 30 months demonstrated no displacement of the fracture or the implants and no signs of loosening around the DHS screw and the VFG (Fig. 6).