Complicated revision total hip arthroplasty (THA) and total knee arthroplasty (TKA), septic prosthetic failure, and periprosthetic femoral fractures seem to be increasing. The expanding applications for arthroplasty in younger patients coupled with their longer lifespan is translating into more revision procedures. In addition, with the increasing population of older patients and the increasing number of THA and TKA procedures done in this population prostheses are being used in more osteoporotic bone and the incidence of periprosthetic fractures is increasing.