Techniques of extraction of well-fixed cemented and cementless implants in revision total hip arthroplasty

Removal of well-fixed cemented and cementless components in total hip arthroplasty is technically demanding and requires a multitude of surgical techniques and tools. The wide array of modular prostheses currently in use adds to the complexity of this task. The authors describe the several techniques that facilitate extraction of well-fixed cemented and cementless total hip prostheses, as well as the bone cement. A working knowledge of these techniques should result in easier implant extraction and less bone destruction during this process.