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This case report describe severe osteonecrosis of the pelvis more than 30 years after radiation due to ovarian cancer. As orthopedic surgeon it is important to ask about previous radiation to the pelvis in case of total hip arthroplasty and also to perform CT in unclear cases. Figure 5. Complete removal of prosthesis due to infection and severe osteonecrosis of the pelvis. Figure 6. CT showing severe destruction of the left hemipelvis.doi:10.4236/ss.2012.37074 fatcat:625vsmnmgzga3hcktasshhfhnq