A method of management of the fractured stem in total hip replacement

A method of removal of the fractured stem of a total hip replacement consists of drilling the distal fragment and extracting it through the open neck of the femur. Good exposure and careful preparation of the medullary canal to take a heavier stem in a well supported position will prevent stem fracture. Extended neck prosthesis may be indicated to ensure stability. Secure reattachment of the trochanter is essential.