Fig. 3. (A) Preoperative anteroposterior view of a 58-year-old male patient with aseptic loosening requiring total hip arthroplasty (THA). (B) Immediate postoperative anteroposterior view showing revision THA with a morselized impacted allograft. (C) Following a traffic accident 6 weeks after surgery, fixation was lost. (D, F) Re-revision THA with morselized impaction allograft and tricortical iliac autograft was performed. Autograft was fixed with 2 screws. (E) Implants remained well fixed 19 years postoperatively. Bony union and remodeling were observed.