The removal of extensively porous-coated femoral stems

Cementless total hip arthroplasty (THA) is the favored fixation for primary THA in the United States. While cylindrical extensively porous-coated femoral stems have demonstrated long-term survivability, the distal ingrowth can create challenges in cases where these stems need to be extracted. This technique article outlines the current methods for extracting extensively porous-coated stems. Traditionally, the extended trochanteric osteotomy (ETO) has been used; however, we present a technique that eliminates the need for osteotomy fixation hardware, eliminates the risk of fragment migration, and nonunion while not compromising the surgeons ability to convert to an ETO if necessary.