62 years old gentleman came with pain in left hip and difficulty in walking for the past 3 years. He had acetabular fracture which was treated by internal fixation. He could barely walk without support and had restricted movement of the hip. Preoperative x-ray showed arthritic hip with plates in situ. At surgery the plate was penetrating into the acetabulum. Since bone had grown over the plate removal of the plate would have risked the sciatic nerve. Therefore cemented cup was used without removing the plate. The uncemented femoral component was used in the usual manner.
Post Op X-Ray shows Reverse Hybrid THR.