Re-revision hip replacement in peri prosthesis shaft femur fracture in operated case of cemented total hip replacement

Introduction: Revision surgery differs from original total hip replacement surgery, which is a lengthier and more difficult process. To get satisfactory result, substantial preparation required, as well the use of specialised implants instruments. Periprosthetic fractures are most commonly caused by fall frequently necessitate revision surgery. Most modifications will include customised intended to compensate for compromised bone soft tissue. Case Report: 68-year-old male with bilateral cemented presents peri prosthetic shaft femur fracture in left side without DNVD was van-couver type B2 managed ORIF + Platting TBW loop eventually failed, impairing patient's routine activity, so he came SMIMER hospital. Management: We performed implant removal long stem femoral component, failed post-operatively, therefore patient underwent Re-revision inter locking nail component. During repeated follow-ups, expressed satisfaction his everyday activities. Discussion: Complication common Early management key rectify intra operative post-operative complication. after rare but feared Peri based on pattern stock. Conclusion: Surgical treatment periprosthetic fractures, thanks introduction new osteosynthesis development stems endoprostheses, helps achieve ever better results. Of major importance choosing method correct classification stability.