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Hip fractures are common in elderly population due to osteoporosis. Proximal Femur Nail Antirotation (PFNA) system has gained more importance in management of peritrochanteric fractures than conventional Proximal Femur Nail (PFN) due to ease of application and low complication rate. We report a case of a 64-year-old male patient who has sustained fracture neck of femur, seven months’ post PFNA. It’s a rare association to have fracture neck of femur with PFNA insitu and hence reported. Patient treated with removal of implant and hemi-replacement of hip.