Revision hip with impaction grafting to socket and “in-cement” revision of femurA 59 year old gentleman had developed symptoms of pain and feelings of instability in his right hip replacement that had been functioning well for the previous 14 years. The X-ray shows loosening of the acetabulum (socket). The femoral stem appears well fixed. At revision surgery the acetabulum was removed easily and recntruction was undertaken with impaction grafting of a femoral head bone graft followed by cementation of a new socket. After trial reduction the hip was found to be unstable so the stem was removed and a new stem with different offset and length was cemented into the old cement mantle, a technique called "in-cemet revision". Pre-operative X-rays 
Post-operative X-ray 
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