(A) Preoperative radiograph of 18-year-old male, GMFCS III/IV with right hip pain and difficulty with weight bearing and activities of daily living. Note the asphericity of the femoral head and skeletal maturity indicating that remodeling of the femoral head here was not going to be substantive. (B) Intraoperative radiograph demonstrating the relationship between the trochanteric fragment and the femoral shaft. These pieces of bone are transfixed with #2 Fibrewire sutures. (C) Final 1-year radiograph of hip salvage intervention. This young man has returned to weight bearing without pain and his overall function has improved significantly. Note the appropriate station of the proximal femur without significant migration and pelvic support configuration.