Removal of a well-fixed femoral stem: Tour de force

Revision total hip arthroplasty often requires removal of a well-fixed femoral implant. Ease of implant removal is dependent on the stem design, geometry, and location/extent of porous ingrowth surface. In an effort to preserve the proximal femoral bone, many different surgical exposures and techniques are available. The intent of this review article is to briefly review the most popular techniques and their indications for use revision total hip, well-fixed femoral stem, femoral stem design.