Morsi ES, et al. - This study was sought to exhibit the reliability of using standard cemented femoral stems in this operation. A total of 107 patients (48 males and 59 females) who had undergone total hip replacements (THRs) after failed treatment of intertrochanteric femoral fractures were enrolled in this study [mean age was 66 years (range 58 – 81)]. The causes of failure enrolled 67 cases of failure of fixation, 16 cases of nonunion, 15 cases of avascular necrosis, and 9 cases of posttraumatic osteoarthritis. At time of THR, failed dynamic hip screws were removed; and blocked the screw holes with cement. Standard cemented femoral stems was found to be reliable and cost effective prostheses in such cases. It is very very important to bypass the distal screw hole by double the femoral canal diameter as long as the bone holes are covered by cement.