(iv) Reconstruction and revision of femoral failure in revision hip arthroplasty

Suitable techniques for femoral reconstruction and revision are dependent on the status of femoral bone stock. The pre-operative planning and operative strategies utilised increase in complexity as the bone stock diminishes. The options range from proximal to distal fixation techniques using cemented or cementless prostheses. Bone stock augmentation in the form of impacted morcellised or structural strut allografts may be required. In the most severe cases bone stock may need to be restored with bulk allograft or restored with a mega-endoprosthesis.A structured reconstruction cascade discussing these options is presented.