Total hip arthroplasty and perioperative management of a patient with hip osteonecrosis secondary to hypopituitarism due to Sheehan syndrome: a case report and literature review
THA for glucocorticoid-induced ONFH in Sheehan's syndrome entails challenges such as perioperative hormonal instability, elevated infection risk, and impaired bone healing. The MDT approach ensures comprehensive risk mitigation, facilitating surgical success and patient safety. Long-term follow-up for hormone levels, bone density, and prosthesis status is warranted.
Authors
- Yaxing Ma
- Ruoyu Wang (ORCID: https://orcid.org/0000-0002-3644-1284)
- Tianxiang Yang
- Jiao Liu (ORCID: https://orcid.org/0000-0003-0304-241X)
- Jun Li (ORCID: https://orcid.org/0000-0001-6383-6065)
- Hui Ma (ORCID: https://orcid.org/0000-0003-3521-7069)
- Xueqi Liu
- He Shang
- Jinpeng Liang
- Desheng Chen
- Tao Ma
- Biao Ma
Institutions
- Ningxia Hui Autonomous Region Peoples Hospital (CN)
- Ningxia Medical University (CN)
- Ningxia Medical University General Hospital (CN)
- The Fourth People's Hospital of Ningxia Hui Autonomous Region (CN)
Publication Details
- Journal
- Frontiers in Surgery
- Published
- 2026-02-04
- DOI
- https://doi.org/10.3389/fsurg.2026.1715057
- Primary Topic
- Bone and Joint Diseases
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Natural Science Foundation of China