title: A method of management of the fractured stem in total hip replacement.
abstract: 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.
mesh_terms: D005269:Femur / Q000601:surgery; D006622:Hip Prosthesis / Q000379:methods*; D006801:Humans; D011183:Postoperative Complications; D013314:Stress, Mechanical; D013525:Surgical Instruments