62 years old gentleman came with complaints of unstable left hip with difficulty in walking and shortening.  He had undergone partial cemented replacement of the left hip in 2018. Subsequently he developed infection in this hip for which the hip prosthesis was removed and it was left as girdle stone. Preoperative X-Rays showed proximally migrated hip with shortening. Clinically there was no infection and blood parameters were normal.

He was planned for hip replacement with dual mobility uncemented acetabulum to ensure stability and further risk of dislocation. Shortening was also overcome by using the adequate length of the neck in the stem. Post op X-Rays showed dual mobility uncemented THR with long wagner stem to by pass the visible fracture line. Now patient is comfortable and walking with support.