62 years old lady had subtrochanteric fracture for which IM Nail was done. This failed within 1 month of surgery for which fixation with DCS was done along with bone grafting.
Post operative period was uneventful but 5 months after this surgery the DCS broke with clear evidence of non union of the fracture.
For this difficult case this plate was removed and it was decided to convert this into uncemented long stem metal on poly Total Hip Replacement. Following surgery the patient is comfortable and mobilising with the help of walker.