A, Fifteen years after Charnley total hip replacement, acetabular loosening and wear are apparent, but there is no evidence of femoral loosening. B, Exposure for acetabular revision was improved by trochanteric slide osteotomy, leaving femoral component intact. Reattachment was secured with cable fixation device (Dall-Miles). Wires are completely extramedullary and do not violate femoral cement mantle. Union was complete at 3 months.