case_images: PMC11823867_01
case_images: The clinical image of the patient from front, side, and behind.
case_images: JOCR-15-80-g001.jpg
case_images: PMC11823867_01_JOCR-15-80-g001.jpg
case_images: F1
case_images: Gross wasting of the right gluteal and thigh region was noted, along with an extension lag over the right knee and a palpable defect over the quadriceps tendon area (Fig. 1).
case_images: Pre-operative radiographs of the pelvis with both hip and lumber spine.
case_images: JOCR-15-80-g002.jpg
case_images: PMC11823867_01_JOCR-15-80-g002.jpg
case_images: F2
case_images: The radiography results revealed significant arthritic changes in the right hip joint, with reduced joint space and deformation of the femoral head, indicating osteonecrosis (Fig. 2).
case_images: Radiographs of right knee with thigh and magnetic resonance imaging (T2-weighted images) of right thigh with knee.
case_images: JOCR-15-80-g003.jpg
case_images: PMC11823867_01_JOCR-15-80-g003.jpg
case_images: F3
case_images: The lateral radiograph of the knee showed patella baja (Fig. 3), and the lumbar spine exhibited a calcified disk with reduced intervertebral space (Fig. 2). An magnetic resonance imaging of the right knee confirmed a mid-substance tear in the quadriceps tendon (Fig. 3).
case_images: Intraoperative images; (a) dark-colored cut femoral head (b) black discoloration of acetabular articular surface (c) uncemented acetabular shell placement.
case_images: JOCR-15-80-g004.jpg
case_images: PMC11823867_01_JOCR-15-80-g004.jpg
case_images: F4
case_images: During the procedure, we observed dark pigmentation in the hip capsule, synovium, femur head, and acetabulum articular surface (Fig. 4).
case_images: Post-operative radiographs after total hip replacement.
case_images: JOCR-15-80-g005.jpg
case_images: PMC11823867_01_JOCR-15-80-g005.jpg
case_images: F5
case_images: At the final follow-up, the implants are in good position (Fig. 5), and Harri's hip score improved to 88 from 37 preoperatively.