Revision of total hip arthroplasty usually is much more difficult and the results definitely are not as satisfactory as after a primary total hip arthroplasty. Many factors, including loss of bone stock, joint instability, infection, fracture, trochanteric nonunion, and difficulty in implant or cement removal, make revision of the femoral component challenging to the surgeon. The bone loss in revision hip arthroplasty occurs secondary to: particulate debris which is the most frequent cause, adaptive bone remodelling and stress shielding, and bone loss as a consequence of natural aging. Many classification systems have been described over the last years for proximal femoral bone loss in revision hip arthroplasty. Repair and reconstruction of the proximal femur with impacted morselized bone combined, where necessary, with wire mesh and cerclage wires or cables are the options for the management of femoral bone loss