Xray of the week‎ case: 3 (UPDATED)

A55 year old man presented to Emergency OPD with complaints of pain in his Rt hip region since last 2 months swelling in his hip and Rt lower limb since last one week.

HOPI: Patient was alright 2 months back  when he gives history of fall n injury to Rt hip region.Patient was able to get up and bear weight over his Rt lower limb following the event. patient is experiencing pain in his right hip since the event which was mild aching to start which gradually progressed to present severe excruciating pain.

Pain is associated with swelling initially localized to Rt hip region which progressed to entire Rt Lower limb

Patient is unable to walk and bear weight on his right lower limb, sit crossed leg and squat since 1month

History of fever on and off since 1 month which is high grade not associated with chills and rigors,

no h/o diurnal variations, or no h/o periodicity
No h/o weight loss
...


Whats ur Dx??

Biopsy report awaited

X ray of the week#6

A 20yr male presented with history of Injury 2 years back followed by surgery on left hip with some implants which were removed 3 weeks later due to psychiatric disturbances

He presented to us with shortening of left lower limb of 9cms (3cms supra trochanteric &6cms infratrochanteric) in femur and 3cms in leg when compared to opposite sidewith discharging sinus over proximal thigh.

wHAT IS THE PROBABLE iNITIAL#
wHAT COULD BE THE POSSIBLE REASON FOR fAILURE

What is the ideal management for this patient?