Abstract
Revision total hip arthroplasty (THA) is a challenging procedure and the removal of well-fixed femoral stems can be compounded by several pitfalls. In such cases, several removal techniques have been presented in the literature. The most commonly used techniques are the transfemoral osteotomy presented by Wagner and the extended trochanteric osteotomy (ETO) described by Younger et al. Both techniques allow the surgeon to have better intraoperative exposure of the fixation surfaces of the solid femoral stems. However, the complication rates such as non-union should not be underestimated. Therefore, it is always a good decision to avoid an ETO if alternative techniques exist. The endofemoral surgical technique is an alternative method for the removal of well-fixed cemented and cementless femoral stems. Tips and tricks of the endofemoral technique for the removal of well-fixed femoral stems are presented.
