{"id":"https://openalex.org/W7127579971","doi":"https://doi.org/10.3389/fsurg.2026.1715057","title":"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","display_name":"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","publication_year":2026,"publication_date":"2026-02-04","ids":{"openalex":"https://openalex.org/W7127579971","doi":"https://doi.org/10.3389/fsurg.2026.1715057","pmid":"https://pubmed.ncbi.nlm.nih.gov/41716316"},"language":"en","primary_location":{"id":"doi:10.3389/fsurg.2026.1715057","doi":"https://doi.org/10.3389/fsurg.2026.1715057","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1715057","pdf_url":"https://public-pages-files-2025.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1715057/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://public-pages-files-2025.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1715057/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5125074262","display_name":"Biao Ma","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210127460","display_name":"Ningxia Medical University","ror":"https://ror.org/02h8a1848","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210127460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Biao Ma","raw_affiliation_strings":["Third Clinical Medical College of Ningxia Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Third Clinical Medical College of Ningxia Medical University","institution_ids":["https://openalex.org/I4210127460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100361638","display_name":"Jun Li","orcid":"https://orcid.org/0000-0001-6383-6065","observed_orcids":["https://orcid.org/0000-0001-6383-6065"]},"institutions":[{"id":"https://openalex.org/I4210127460","display_name":"Ningxia Medical University","ror":"https://ror.org/02h8a1848","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210127460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jun Li","raw_affiliation_strings":["Third Clinical Medical College of Ningxia Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Third Clinical Medical College of Ningxia Medical University","institution_ids":["https://openalex.org/I4210127460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122823145","display_name":"Tao Ma","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210105138","display_name":"Ningxia Hui Autonomous Region Peoples Hospital","ror":"https://ror.org/01g8cdp94","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210105138"]},{"id":"https://openalex.org/I4210127460","display_name":"Ningxia Medical University","ror":"https://ror.org/02h8a1848","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210127460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Tao Ma","raw_affiliation_strings":["Department of Joint Surgery, Ningxia Hui Autonomous Region People\u2019s Hospital (Affiliated Hospital of Ningxia Medical University)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Joint Surgery, Ningxia Hui Autonomous Region People\u2019s Hospital (Affiliated Hospital of Ningxia Medical University)","institution_ids":["https://openalex.org/I4210105138","https://openalex.org/I4210127460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122353994","display_name":"He Shang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210127460","display_name":"Ningxia Medical University","ror":"https://ror.org/02h8a1848","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210127460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"He Shang","raw_affiliation_strings":["Third Clinical Medical College of Ningxia Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Third Clinical Medical College of Ningxia Medical University","institution_ids":["https://openalex.org/I4210127460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122040320","display_name":"Xueqi Liu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210105138","display_name":"Ningxia Hui Autonomous Region Peoples Hospital","ror":"https://ror.org/01g8cdp94","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210105138"]},{"id":"https://openalex.org/I4210127460","display_name":"Ningxia Medical University","ror":"https://ror.org/02h8a1848","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210127460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xueqi Liu","raw_affiliation_strings":["Department of Joint Surgery, Ningxia Hui Autonomous Region People\u2019s Hospital (Affiliated Hospital of Ningxia Medical University)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Joint Surgery, Ningxia Hui Autonomous Region People\u2019s Hospital (Affiliated Hospital of Ningxia Medical University)","institution_ids":["https://openalex.org/I4210105138","https://openalex.org/I4210127460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076196332","display_name":"Tianxiang Yang","orcid":"https://orcid.org/0009-0003-9481-6819","observed_orcids":["https://orcid.org/0009-0003-9481-6819"]},"institutions":[{"id":"https://openalex.org/I4210105138","display_name":"Ningxia Hui Autonomous Region Peoples Hospital","ror":"https://ror.org/01g8cdp94","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210105138"]},{"id":"https://openalex.org/I4210127460","display_name":"Ningxia Medical University","ror":"https://ror.org/02h8a1848","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210127460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Tianxiang Yang","raw_affiliation_strings":["Department of Joint Surgery, Ningxia Hui Autonomous Region People\u2019s Hospital (Affiliated Hospital of Ningxia Medical University)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Joint Surgery, Ningxia Hui Autonomous Region People\u2019s Hospital (Affiliated Hospital of Ningxia Medical University)","institution_ids":["https://openalex.org/I4210105138","https://openalex.org/I4210127460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122332053","display_name":"Jinpeng Liang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210105138","display_name":"Ningxia Hui Autonomous Region Peoples Hospital","ror":"https://ror.org/01g8cdp94","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210105138"]},{"id":"https://openalex.org/I4210127460","display_name":"Ningxia Medical University","ror":"https://ror.org/02h8a1848","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210127460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jinpeng Liang","raw_affiliation_strings":["Department of Joint Surgery, Ningxia Hui Autonomous Region People\u2019s Hospital (Affiliated Hospital of Ningxia Medical University)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Joint Surgery, Ningxia Hui Autonomous Region People\u2019s Hospital (Affiliated Hospital of Ningxia Medical University)","institution_ids":["https://openalex.org/I4210105138","https://openalex.org/I4210127460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002871601","display_name":"Yaxing Ma","orcid":"https://orcid.org/0009-0003-5112-9031","observed_orcids":["https://orcid.org/0009-0003-5112-9031"]},"institutions":[{"id":"https://openalex.org/I4210127460","display_name":"Ningxia Medical University","ror":"https://ror.org/02h8a1848","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210127460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yaxing Ma","raw_affiliation_strings":["Third Clinical Medical College of Ningxia Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Third Clinical Medical College of Ningxia Medical University","institution_ids":["https://openalex.org/I4210127460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033777521","display_name":"Ruoyu Wang","orcid":"https://orcid.org/0000-0002-3644-1284","observed_orcids":["https://orcid.org/0000-0002-3644-1284"]},"institutions":[{"id":"https://openalex.org/I4210127460","display_name":"Ningxia Medical University","ror":"https://ror.org/02h8a1848","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210127460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Ruoyu Wang","raw_affiliation_strings":["Third Clinical Medical College of Ningxia Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Third Clinical Medical College of Ningxia Medical University","institution_ids":["https://openalex.org/I4210127460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100704164","display_name":"Hui Ma","orcid":"https://orcid.org/0000-0003-3521-7069","observed_orcids":["https://orcid.org/0000-0003-3521-7069"]},"institutions":[{"id":"https://openalex.org/I4210127460","display_name":"Ningxia Medical University","ror":"https://ror.org/02h8a1848","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210127460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Hui Ma","raw_affiliation_strings":["Laboratory Medicine of Ningxia Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Laboratory Medicine of Ningxia Medical University","institution_ids":["https://openalex.org/I4210127460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100349713","display_name":"Jiao Liu","orcid":"https://orcid.org/0000-0003-0304-241X","observed_orcids":["https://orcid.org/0000-0003-0304-241X"]},"institutions":[{"id":"https://openalex.org/I4210105138","display_name":"Ningxia Hui Autonomous Region Peoples Hospital","ror":"https://ror.org/01g8cdp94","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210105138"]},{"id":"https://openalex.org/I4210127460","display_name":"Ningxia Medical University","ror":"https://ror.org/02h8a1848","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210127460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jiao Liu","raw_affiliation_strings":["Department of Joint Surgery, Ningxia Hui Autonomous Region People\u2019s Hospital (Affiliated Hospital of Ningxia Medical University)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Joint Surgery, Ningxia Hui Autonomous Region People\u2019s Hospital (Affiliated Hospital of Ningxia Medical University)","institution_ids":["https://openalex.org/I4210105138","https://openalex.org/I4210127460"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5122807537","display_name":"Desheng Chen","orcid":"https://orcid.org/0009-0002-3193-1687","observed_orcids":["https://orcid.org/0009-0002-3193-1687"]},"institutions":[{"id":"https://openalex.org/I4210105138","display_name":"Ningxia Hui Autonomous Region Peoples Hospital","ror":"https://ror.org/01g8cdp94","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210105138"]},{"id":"https://openalex.org/I4210127460","display_name":"Ningxia Medical University","ror":"https://ror.org/02h8a1848","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210127460"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Desheng Chen","raw_affiliation_strings":["Department of Joint Surgery, Ningxia Hui Autonomous Region People\u2019s Hospital (Affiliated Hospital of Ningxia Medical University)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Joint Surgery, Ningxia Hui Autonomous Region People\u2019s Hospital (Affiliated Hospital of Ningxia Medical University)","institution_ids":["https://openalex.org/I4210105138","https://openalex.org/I4210127460"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5122807537"],"corresponding_institution_ids":["https://openalex.org/I4210105138","https://openalex.org/I4210127460"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.05739701,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":"1715057","last_page":"1715057"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12209","display_name":"Bone and Joint Diseases","score":0.9047999978065491,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12209","display_name":"Bone and Joint Diseases","score":0.9047999978065491,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.027499999850988388,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10832","display_name":"Pituitary Gland Disorders and Treatments","score":0.01140000019222498,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hip-arthroplasty","display_name":"total hip arthroplasty","score":0.9259999990463257},{"id":"https://openalex.org/keywords/hip-osteonecrosis","display_name":"hip osteonecrosis","score":0.7730000019073486},{"id":"https://openalex.org/keywords/sheehan-syndrome","display_name":"Sheehan's syndrome","score":0.8849999904632568},{"id":"https://openalex.org/keywords/hypopituitarism","display_name":"hypopituitarism","score":0.9900000095367432},{"id":"https://openalex.org/keywords/glucocorticoid-induced-osteonecrosis","display_name":"glucocorticoid-induced osteonecrosis","score":0.9729999899864197},{"id":"https://openalex.org/keywords/perioperative-care","display_name":"perioperative care","score":0.5690000057220459},{"id":"https://openalex.org/keywords/multidisciplinary-care","display_name":"multidisciplinary care","score":0.8360000252723694},{"id":"https://openalex.org/keywords/postpartum-hemorrhage","display_name":"postpartum hemorrhage","score":0.7129999995231628},{"id":"https://openalex.org/keywords/prednisone","display_name":"prednisone","score":0.7139999866485596},{"id":"https://openalex.org/keywords/levothyroxine","display_name":"levothyroxine","score":0.8069999814033508},{"id":"https://openalex.org/keywords/bone-mineral-density","display_name":"bone mineral density","score":0.4650000035762787}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9700999855995178},{"id":"https://openalex.org/C2778491484","wikidata":"https://www.wikidata.org/wiki/Q922411","display_name":"Hypopituitarism","level":2,"score":0.795799970626831},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.6417999863624573},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6263999938964844},{"id":"https://openalex.org/C3019025420","wikidata":"https://www.wikidata.org/wiki/Q32333487","display_name":"Total hip arthroplasty","level":2,"score":0.5841000080108643},{"id":"https://openalex.org/C2778416181","wikidata":"https://www.wikidata.org/wiki/Q535876","display_name":"Sheehan's syndrome","level":3,"score":0.4936000108718872},{"id":"https://openalex.org/C2778715743","wikidata":"https://www.wikidata.org/wiki/Q181802","display_name":"Prosthesis","level":2,"score":0.4837999939918518},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.42489999532699585},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.31380000710487366},{"id":"https://openalex.org/C2780159708","wikidata":"https://www.wikidata.org/wiki/Q17003363","display_name":"Hormone replacement therapy (female-to-male)","level":3,"score":0.3127000033855438},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.3122999966144562},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.30320000648498535},{"id":"https://openalex.org/C2776164576","wikidata":"https://www.wikidata.org/wiki/Q62736","display_name":"Osteoarthritis","level":3,"score":0.2906000018119812},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.28130000829696655},{"id":"https://openalex.org/C2775854910","wikidata":"https://www.wikidata.org/wiki/Q4844892","display_name":"Femoral neck","level":3,"score":0.2809000015258789},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.27970001101493835},{"id":"https://openalex.org/C3020453552","wikidata":"https://www.wikidata.org/wiki/Q32333487","display_name":"Total hip replacement","level":2,"score":0.2712000012397766},{"id":"https://openalex.org/C3019229754","wikidata":"https://www.wikidata.org/wiki/Q3354346","display_name":"Hormone replacement","level":3,"score":0.2578999996185303},{"id":"https://openalex.org/C71315377","wikidata":"https://www.wikidata.org/wiki/Q11364","display_name":"Hormone","level":2,"score":0.25220000743865967}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fsurg.2026.1715057","doi":"https://doi.org/10.3389/fsurg.2026.1715057","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1715057","pdf_url":"https://public-pages-files-2025.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1715057/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},{"id":"pmid:41716316","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41716316","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in surgery","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:1afce56d1bfa47e596e93022928b9036","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/1afce56d1bfa47e596e93022928b9036","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Surgery, Vol 13 (2026)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12913419","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12913419/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Front Surg","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.3389/fsurg.2026.1715057","doi":"https://doi.org/10.3389/fsurg.2026.1715057","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1715057","pdf_url":"https://public-pages-files-2025.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1715057/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"sustainable_development_goals_aurora":[{"display_name":"Gender equality","id":"https://metadata.un.org/sdg/5","score":0.5166488885879517}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[{"id":"https://openalex.org/G6434671134","display_name":"Tetrandrine\u7ecfTLR4/MyD88/NF-\u03baB\u4fe1\u53f7\u8f6c\u5bfc\u901a\u8def\u8c03\u63a7\u4eba\u5de5\u5173\u8282\u65e0\u83cc\u6027\u708e\u6027\u9aa8\u6eb6\u89e3\u7684\u5b9e\u9a8c\u7814\u7a76","funder_award_id":"82060408","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"}],"funders":[{"id":"https://openalex.org/F4320321001","display_name":"National Natural Science Foundation of China","ror":"https://ror.org/01h0zpd94"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7127579971.pdf","grobid_xml":"https://content.openalex.org/works/W7127579971.grobid-xml"},"referenced_works_count":15,"referenced_works":["https://openalex.org/W2786382895","https://openalex.org/W2960591268","https://openalex.org/W2999204355","https://openalex.org/W3015456705","https://openalex.org/W3120104881","https://openalex.org/W3195910735","https://openalex.org/W4210987996","https://openalex.org/W4214573341","https://openalex.org/W4214888442","https://openalex.org/W4318926426","https://openalex.org/W4393120262","https://openalex.org/W4402945070","https://openalex.org/W4403075404","https://openalex.org/W4403588096","https://openalex.org/W4408625102"],"related_works":[],"abstract_inverted_index":{"Background:":[0],"Sheehan's":[1,50,169],"syndrome,":[2],"a":[3,39,46,146],"rare":[4],"disorder":[5],"resulting":[6],"from":[7],"postpartum":[8],"hemorrhage-induced":[9],"necrosis":[10],"of":[11,32,67],"the":[12,33],"anterior":[13],"pituitary":[14],"gland,":[15],"necessitates":[16],"long-term":[17],"hormone":[18,89,201],"replacement":[19],"therapy":[20],"with":[21,49,57,64,145,151],"glucocorticoids.":[22],"This":[23],"predisposes":[24],"patients":[25],"to":[26],"severe":[27],"complications,":[28],"including":[29],"rapid-progression":[30],"osteonecrosis":[31],"femoral":[34],"head":[35],"(ONFH),":[36],"which":[37,136],"carries":[38],"high":[40],"disability":[41],"rate.":[42],"Methods:":[43],"We":[44],"report":[45],"63-year-old":[47],"female":[48],"syndrome":[51,170],"diagnosed":[52],"30":[53],"years":[54,66],"ago,":[55],"managed":[56],"sustained":[58],"prednisone":[59],"and":[60,71,102,156,181,195,205],"levothyroxine.":[61],"She":[62],"presented":[63],"10":[65],"bilateral":[68,73],"hip":[69,94,154],"pain":[70],"imaging-confirmed":[72],"ONFH":[74,167],"at":[75],"ARCO":[76],"stage":[77],"IV.":[78],"A":[79],"multidisciplinary":[80],"team":[81],"(MDT)":[82],"approach":[83,187],"was":[84,115,137],"implemented:":[85],"endocrinology":[86],"optimized":[87],"preoperative":[88],"regimens,":[90],"orthopedics":[91],"planned":[92],"total":[93],"arthroplasty":[95],"(THA)":[96],"based":[97],"on":[98],"bone":[99,183,203],"density":[100],"assessments,":[101],"anesthesiology":[103],"confirmed":[104],"tolerability":[105],"for":[106,165,200],"intraspinal":[107],"anesthesia.":[108],"After":[109],"stabilizing":[110],"physiological":[111],"parameters,":[112],"left":[113,153],"THA":[114,164],"performed.":[116],"Results:":[117],"Intraoperative":[118],"hydrocortisone":[119],"infusion":[120],"maintained":[121],"hormonal":[122,176],"homeostasis.":[123],"The":[124,185],"surgery":[125],"proceeded":[126],"uneventfully;":[127],"however,":[128],"an":[129],"allergic":[130],"reaction":[131],"occurred":[132],"during":[133],"blood":[134],"transfusion,":[135],"promptly":[138],"controlled.":[139],"Postoperative":[140],"MDT-coordinated":[141],"care":[142],"enabled":[143],"ambulation":[144],"walker":[147],"within":[148],"one":[149],"week,":[150],"unrestricted":[152],"mobility":[155],"no":[157],"complications":[158],"(e.g.,":[159],"infection,":[160],"prosthesis":[161,206],"loosening).":[162],"Conclusion:":[163],"glucocorticoid-induced":[166],"in":[168],"entails":[171],"challenges":[172],"such":[173],"as":[174],"perioperative":[175],"instability,":[177],"elevated":[178],"infection":[179],"risk,":[180],"impaired":[182],"healing.":[184],"MDT":[186],"ensures":[188],"comprehensive":[189],"risk":[190],"mitigation,":[191],"facilitating":[192],"surgical":[193],"success":[194],"patient":[196],"safety.":[197],"Long-term":[198],"follow-up":[199],"levels,":[202],"density,":[204],"status":[207],"is":[208],"warranted.":[209]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2026-02-06T00:00:00"}