Malunited childhood proximal femoral fracture with SUFE and OAhip and valgus knee,anke and degenerate spine

 Type 2 valgus degenerate  spine with painful malunited proximal femur with old SCFE hip,

Lt.  hip was replaced  4 years ago. CT  revealed an eccentric canal at the malunion. 

Planned  and executed plan B with a drill sleeve and k wire  inserted centrally under imaging and end cutting reamers used to get central and by pass the  deformity and a cemented  polished stem  and mobilised . 

Awaiting the valgus knee and ankle correction at 3 months