case_images: PMC9835845_01
case_images: AP and lateral view X-rays of the right hip showing right displaced neck of femur fracture. AP: anteroposterior
case_images: cureus-0015-00000033629-i01.jpg
case_images: PMC9835845_01_cureus-0015-00000033629-i01.jpg
case_images: FIG1
case_images: Imaging in the form of X-rays was ordered and taken, revealing a right displaced neck of femur fracture (Figure 1) grade 4 when referring to Garden classification.
case_images: AP and lateral view X-rays of the right hip showing post close reduction and internal fixation with cannulated screws. AP: anteroposterior
case_images: cureus-0015-00000033629-i02.jpg
case_images: PMC9835845_01_cureus-0015-00000033629-i02.jpg
case_images: FIG2
case_images: The patient was taken on the 5th of March 2018 to the operating room where he underwent close reduction in valgus position and internal fixation with three cannulated screws with a size of 7.3 in reverse triangular fashion (Figure 2).
case_images: AP and lateral view follow-up X-rays of the right hip showing accepted position of screws with no displacement. AP: anteroposterior
case_images: cureus-0015-00000033629-i03.jpg
case_images: PMC9835845_01_cureus-0015-00000033629-i03.jpg
case_images: FIG3
case_images: Anteroposterior and lateral X-rays of the hip were obtained and showed the accepted position of screws and no displacement at the fracture site (Figure 3).
case_images: AP and lateral view follow-up X-rays of the right hip showing no signs of callus formation or union. AP: anteroposterior
case_images: cureus-0015-00000033629-i04.jpg
case_images: PMC9835845_01_cureus-0015-00000033629-i04.jpg
case_images: FIG4
case_images: In his second visit to our clinic on the 22nd of April 2018, X-rays still showed no signs of union (Figure 4), and partial weight-bearing with crutches was initiated.
case_images: AP and lateral view X-rays of the right hip revealing signs of union in the superior aspect of the neck. AP: anteroposterior
case_images: cureus-0015-00000033629-i05.jpg
case_images: PMC9835845_01_cureus-0015-00000033629-i05.jpg
case_images: FIG5
case_images: In his third visit on the 17th of May 2018, X-rays revealed signs of a union in the superior aspect of the neck (Figure 5), which was followed by a later visit that showed more signs of healing as well (Figure 6).
case_images: AP and lateral view X-rays of the right hip showing more signs of healing. AP: anteroposterior
case_images: cureus-0015-00000033629-i06.jpg
case_images: PMC9835845_01_cureus-0015-00000033629-i06.jpg
case_images: FIG6
case_images: In his third visit on the 17th of May 2018, X-rays revealed signs of a union in the superior aspect of the neck (Figure 5), which was followed by a later visit that showed more signs of healing as well (Figure 6).
case_images: AP and lateral view X-rays of the right hip showing complete healing of the fracture with well-positioned implant with no screw cut off and no signs of head of femur avascular necrosis. AP: anteroposterior
case_images: cureus-0015-00000033629-i07.jpg
case_images: PMC9835845_01_cureus-0015-00000033629-i07.jpg
case_images: FIG7
case_images: X-rays showed complete healing of the fracture with a well-positioned implant with no screw cut off and no signs of head of femur avascular necrosis (AVN) (Figure 7).
case_images: AP and lateral view X-rays of the right hip post implant removal. AP: anteroposterior
case_images: cureus-0015-00000033629-i08.jpg
case_images: PMC9835845_01_cureus-0015-00000033629-i08.jpg
case_images: FIG8
case_images: The patient was booked for screw removal as an elective day case and underwent implant removal on the 29th of April 2021 (Figure 8).
case_images: AP and lateral view follow-up X-rays of the right hip showing no signs of right head of femur AVN and acceptable bone that formed filling the screw tract. AP, anteroposterior; AVN, avascular necrosis
case_images: cureus-0015-00000033629-i09.jpg
case_images: PMC9835845_01_cureus-0015-00000033629-i09.jpg
case_images: FIG9
case_images: During follow-up after a few months after the first visit to the clinic, the images showed no signs of right head of femur AVN, and acceptable bone formed filling the screw tract (Figure 9).