fracture neck 6 yrs post resurfacing arthroplasty

              I was asked what to do next.

It appears the the femoral  metaphysis is abnormal. Is it an old infection or something else? The safest option would be a complete revision to a ceramic on ceramic bearing or ceramic on vit e poly in view of the bad press with metal on metal. The comonest cause of failure at medium term as above is if the primary indication was in AVN. One could consider one of the short stems in the market today like metaphyseal engaging short stems from metha hip from aesculap, silent hip from depuy, taperloc,balance microplasty to avoid the canal compromised deformed metaphysis.But remember these microhips have at best  year results in expert hands.

one needs to be careful to avoid loosing more acetabular bone while explanting the cup. May be the zimmer explant system would help.