Left Neck of Femur Fracture Treated with Cementless THA

Postoperative AP pelvis radiograph after left cementless total hip replacement

This case demonstrates the management of a left neck of femur fracture in a 61-year-old female patient. Preoperative radiographs showed an intracapsular fracture of the left femoral neck. After clinical and radiological assessment, the patient underwent cementless total hip arthroplasty.

Medical note: This anonymized case is shown for educational purposes only and does not replace individualized medical assessment, imaging review, or clinical examination.

Case snapshot

Age and sex61-year-old female.

DiagnosisLeft neck of femur fracture.

ProcedureLeft cementless total hip arthroplasty.

CategoryCase Library / Hip Replacement / Fracture Surgery.

Preoperative imagingAP pelvis and focused hip views showing the fracture configuration.

Postoperative imagingAP pelvis and focused hip views showing the THA reconstruction.

Why total hip arthroplasty may be selected

Total hip arthroplasty may be selected for certain displaced femoral neck fractures when reconstruction of the hip joint is more appropriate than internal fixation. The decision depends on age, bone quality, fracture displacement, functional demand, medical fitness, and the condition of the hip joint.

Radiographic timeline

The following images are included for educational case-library use. Patient-identifying details are intentionally avoided.

$Preoperative AP pelvis radiograph showing left neck of femur fracture$

Figure 1. Preoperative AP pelvis radiograph showing the left femoral neck fracture.

$Preoperative focused hip radiograph showing left femoral neck fracture$

Figure 2. Preoperative focused hip view demonstrating the fracture configuration.

Figure 3. Postoperative AP pelvis radiograph after left cementless total hip arthroplasty.

Figure 4. Focused postoperative hip radiograph showing cementless THA components in situ.

Patient-facing explanation

A neck of femur fracture is a break close to the ball of the hip joint. Treatment may involve fixation, partial hip replacement, or total hip replacement depending on the fracture pattern and patient factors. In this case, cementless total hip arthroplasty was used to reconstruct the left hip joint.

When a hip fracture needs urgent assessment

Inability to stand or walk after a fall.
Severe groin, hip, or pelvic pain.
Shortening or external rotation of the affected limb.
Known osteoporosis or medical comorbidities requiring careful surgical planning.

FAQ

Does every neck of femur fracture need total hip replacement?

No. Treatment may include fixation, hemiarthroplasty, or total hip arthroplasty depending on fracture pattern, patient age, bone quality, function, and medical fitness.

Why might total hip arthroplasty be chosen instead of fixation?

In selected displaced femoral neck fractures, hip reconstruction may be more appropriate than internal fixation after clinical and radiographic assessment.

Is a cementless implant suitable for every patient?

No. Cementless fixation depends on bone quality, intraoperative implant stability, patient factors, and surgeon assessment.

Do these images guarantee the same outcome for every patient?

No. This is an educational case only. Treatment, rehabilitation, and recovery vary between patients.

Medical disclaimer: This case is shared for educational and awareness purposes only. It does not replace individualized medical assessment or review of original imaging and reports.

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