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Three more (A50 with MIS + PF) had secondary OA treated with primary total hip replacement (THR). Complications were as follows one foot drop recovered after immediate repositioning of screw, one cardiac event and one pulmonary embolism. Fracture mal-reduction predicts secondary OA, but good fracture reduction does not prevent secondary OA. MIS and PF in elderly are useful even with suboptimal reduction as it sets the bed for a non-complex THR. Despite MIS surgery, medical complications are potentially significant. Fracture mal-reducti