Total Hip Arthroplasty in Severe Osteoporosis - Technical Tips to Avert Complications Prophylactic Locked Plating Along With Total Hip Arthroplasty for Severe Osteoporosis with Intramedullary Nail In Situ

Patients with osteoporosis requiring orthopedic procedures have more adverse outcomes. We present a case of 72 years old severely osteoporotic female with one-year-old neglected fracture neck of femur. She also had an intramedullary nail in situ done for fracture lower end of ipsilateral femur 20 years back. At the time of presentation the lower end of nail was penetrating the anterior femoral cortex. The femur was fixed preemptively with distal femoral locking plate followed by cemented total hip arthroplasty. We also discuss the surgical principles along with the tips and pearls adopted in this case.