End of stem pain in a rev tkr

 This 67 year female presented with start up pain in the knee and midshaft of tibia which was tender. She is close to 2 years post revision.
The pedestal at the tip of stem and circumferential loosening line around the stem and medial tibia suggests that its loose. Awaiting bone scan.
Beware of straigth long tibial stems

My options
1. Revise the tibia  and use a shorter thicker uncemented  stem may be  70 mm Into 16 mm ending at least an inch above the present tip( no scratch fit).
Centralise the reamer with at  sleeve( the type we use for distal cement drilling in  revision stem) pass the  im nail centralised guide wire with an image check and use a central stem.if one is closer to the tip you would need to by pass the end of stem and then might need a curved stem or might get away with a slotted stem.
2.Use a short cemented stem
Ps . I have got away once with a cemented long stem in a RHK knee