(APRIL:2016)A 60 year old gentleman presented with ununited fracture of leg bone (tibia). He also had pain in knee joint prior to surgery. He was bedridden since last 1 year.Usually uninvited fractures are treated by repeat surgery (nailing/ Plating) & Bone grafting. But this patient also had arthritis of the knee joint, therefore we planned for Total Knee Replacement with long stem in tibia to bypass the fracture site. This surgery require a lot of expertise and experience. Post operatively patient is out from bed and ambulating with walking frame comfortably.