Revision of failed total hip surgery using methylmethacrylate has led to early failure. A new technique using a biologic ingrowth femoral component with bone grafting is presented. Early results after two to three years’ follow-up show excellent incorporation of the bone graft into the femur, with a solidly fixed prosthesis and good clinical results. Bone stock is being replenished rather than destroyed in difficult revision cases. Long-term results are expected to be favorable due to the continued stress transfer to the bone allowed by biologic ingrowth.