Primary Complex Total Hip Replacement – 64 year old lady

64 year old lady came with the complaint of pain in left hip and difficulty in walking since 1 year. History of fracture neck of femur and ipsilateral subtrochanteric fracture femur 1 year back, fixed with cyrus nail . Post operative period was uneventful. Currently patient ambulate with walker. Patient is a Know case of hypertension and rheumatoid arthritis.
x-ray showed non union fracture neck of femur with implant failure.
We took challenge of giving her mobile hip again and operated on left hip with implant removal and total hip replacement. Post operatively patient is comfortable and walking with walker.