Femoral Component Removal

Chapter Synopsis

In this chapter, we review the indications and techniques for successful removal of the femoral components in revision total hip arthroplasty.

Important Points

• Before femoral extraction, a full workup is performed to assess component loosening.

• Cortical bone stock of the femur is evaluated preoperatively.

• An extended trochanteric osteotomy (ETO) is used to minimize bone loss and prevent perioperative fracture.

Clinical/Surgical Pearls

• The ETO should expose a large segment of bone to enable reattachment.

• Extraction of the femoral implant should preserve all bone stock for reconstruction.

Clinical/Surgical Pitfalls

• Diaphyseal bone stock is key to fixation in future revisions using tapered stems.