Allleged history of fall 2 months back. Knee lying dislocated when reviewed by usTKR done 5 years ago with no issues till the fall Bloods and knee aspiration - - normal Options of RHKif frozen section was negative or Fusion if infected was discussed. 2 stage was ruled out by patientThe decision had to be one stage and no external fixation as per patients families request . So a fusion was done as frozen section showed probable infection as per fieldman's criteria, Survived the surgery and mobilised FWB day 2 day before discharge went into renal shutdown at day 12 and after a month of ICU and stay we lost her