We reviewed performed a retrospective review of our series of excision arthroplasty patients and identified 16 patients who had undergone the procedure for sepsis, and who we had subsequently subjected to revision to a total hip arthroplasty (THA). Mean follow-up was 96 +/- 15 months. There was a significant reduction in limb length discrepancy and a marked improvement in walking capability. Range of movement improved most in patients under 65 years of age. Patient selection is critical, because THA after excision arthroplasty is complex, and may have less satisfactory results primary surgery.