Fig. 1.

a First hip revision in a 58-year-old man. Preoperative radiographs showing aseptic loosening of the stem associated with femoral osteolysis. Bone defects were rated stage III. b Immediate postoperative anteroposterior view showing femoral reconstruction with pure synthetic graft. The graft-cement packing was considered complete and homogenous. c Radiographs taken 57 months postoperatively exhibit cortical repair and trabecular remodelling in the metaphyseal area. There is no evidence of stem subsidence and no radiolucent lines at the cement-bone interface. The functional score was rated excellent