This review examined the use of total hip arthroplasty as therapeutic option for management of chronic fracture of acetabulum accompanied by osteoarthritis. The article discussed the epidemiology, risk factors, and potential complications associated with this complex condition, as well as its increasing prevalence among the elderly population. The rationale for combining total hip arthroplasty with fracture fixation was discussed, along with the potential benefits of pain relief, increased stability, enhanced long-term outcomes, and decreased healthcare costs. The article also examined the potential risks and complications associated with this approach, as well as the significance of a multidisciplinary treatment approach that takes each patient's unique requirements and goals into account. Overall, it provided a comprehensive overview of the challenges and considerations involved in managing an old fracture of the acetabulum in conjunction with osteoarthritis and emphasized the potential role of total hip arthroplasty as a treatment option for this complex condition.