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Patients with shell fragment injuries to the hip joint had higher infection rates, but it is not statistically significant. An anatomic reduction of the fracture may not be possible in these cases as a result of significant bone and/or cartilage loss. Total hip arthroplasty can be done after gunshot- and shell fragment-related posttraumatic arthritis. It is an effective treatment choice to reduce pain and improve function, but the surgeon must be very careful because of high rate of infection. An anatomic reduction of the fracture may not