Planned to do a metaphyseal corrective osteotomy followed by a TKR- one stage and grafting. Touch wt bearing for 6 weeks. Fibula was not osteotomised as adequete correction and compression and grafting was thought to be sufficient. 
79 year 10 years post acetabular fracture fixed elsewhere presented with Trochanteric fracture. Patient ASA grade 2, non diabetic and pretty active. The judet views showed adequate posterior column and wall. Planned for a THR. Cemented or uncemented. 36 head if possible.We decided to remove the implant only if it was interfereing and finally went thru modified hardinge and did a cemented repalcement. We wanted a larger head diameter with an uncemented cup but due to the presence of 2 intraarticular screw we cemented the same and a calcar replacement stem with wiring of the trochanter.
