65 year old man with loosening of a Charnley Elite Plus stem after 8 years in place. The lateral X ray shows that the original stem was put in an extreme antero-posterior position causing thigh pain and femoral erosion posteriorly at the tip. Surgery addresses the socket first then the stem. The socket is reconstructed with impaction grafting and a cemented implant. The stem used is an uncemented titanium fully hydroxyapatite coated implant (KAR stem -made by DePuy)
