A 23 year old female patient, known case of osteosarcoma left femur with pathological fracture with pulmonary metastases and ipsilateral proximal femur skip lesion. she has exhausted all cycles of chemotherapy and was insisting on limb salvage surgery. She had undergone total femur replacement. The patient is happy and indepedent performing her daily routine normally for last 4 years. She is fighting the metastatic disease with minimal progression for the last four years.