2-stage technique for hip fusion in absence of femoral head, failed femoral prosthesis, or infected trochanteric mold arthroplasty. Stage 1, anterior femoral approach (acetabular cavity debrided and deepened, greater trochanter denuded and seated into acetabulum using wide abduction, and bilateral spica cast applied); stage 2, transverse osteotomy just distal to lesser trochanter (femur adducted and spica cast reapplied bilaterally with patient immobilization).