72 years old lady presented with complaints of pain in right hip and difficulty in walking for the last 6 months. She had undergone partial hip replacement (Hemiarthroplasty) 16 years ago.

There was no evidence of infection. The leg was short by 3 cm due to sinking of the previous implant in the femur. Preoperative X-ray showed loosening of femoral prosthesis. We planned for conversion to Total Hip Replacement. These cases require special surgical skills to remove the previous prosthesis without bone loss and special implants to get good fit in residual bone. As the patient had good bone stock we used uncemented total hip implants. Now patient is comfortable and the shortening of the leg has also been corrected.