56  years old gentleman, known case of parkinsonism is a follow up case of anterior column plus posterior wall fixation for fracture left acetabulum presented to us with complaints of severe pain in left hip with difficulty in walking and managing routine activities.

After proper evaluation patient was counselled to undergo Left Total Hip Replacement . THR in post acetablular fracture fixation is a bit challenging and require special expertise.

Patient was mobilised the next day with walker and is comfortable and pain free.