Avoiding your next extended trochanteric osteotomy: An alternative for femoral component removal

The removal of well-fixed implants can be challenging for every orthopedic surgeon. The most commonly used methods for the removal of solid implants are the transfemoral osteotomy and the extended trochanteric osteotomy (ETO). However, those techniques are often associated with various complications such as non-unions or migration of the osteotomy fragment and persistent abductor weakness. Therefore, the authors present the endofemoral technique for the removal of well-fixed cemented and uncemented femoral stems. For a successful and efficient implant removal, it is of enormous importance to have proper instruments available.