Extensive loss of bone stock with nonunion of the periprosthetic fracture of the femur is a disastrous complication after revision total hip arthroplasty. We report a case of nonunion of the femur distal to the loose long-stem femoral component with extensive bone loss around the femoral component. A two-stage reimplantation was performed. The first stage included debridement, removal of the loose prosthesis, open reduction and internal fixation of the nonunion with massive bone grafts. Six months later, a second revision arthroplasty using a cemented extra-long stem tumor prosthesis was performed. At 4 years and 2 months follow-up, the patient was pain free with a good radiological outcome.