title: A simple new technique for the removal of fractured femoral stems: a case report.
abstract: BACKGROUND
  The removal of broken femoral stems has become a major issue in revision surgery, and is a technically difficult and time-consuming procedure.
  
  
  METHODS
  We present a case of a fracture of a cementless long femoral stem in a 65-year-old, white Caucasian man. The distal part was removed with a special longitudinal osteotomy through the anterior cortex extending distally for 10 cm. It was then followed by a transversal osteotomy 2 cm below the tip of the femoral stump to allow enough space for two locking pliers. Simultaneously using a lamina spreader on the distal part, the broken stem was extracted while hammering on two locking pliers.
  
  
  CONCLUSIONS
  We developed a simple and easy technique for the removal of a broken femoral stem that can be applied to all kinds of femoral stems and intramedullary nails regardless of their cross section. We used ordinary surgical instruments and spared the remaining bone stock.
authors.forename: Goran
authors.initials: G
authors.lastname: Bicanic
authors.affiliation: Department of Orthopaedic Surgery, Clinical Hospital Centre Zagreb, Salata 7, 10000, Zagreb, Croatia. gbic@mef.hr.
authors.forename: Kresimir
authors.initials: K
authors.lastname: Crnogaca
authors.forename: Domagoj
authors.initials: D
authors.lastname: Delimar
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D005264:Femoral Fractures / Q000601:surgery*; D005266:Femoral Neoplasms / Q000601:surgery*; D005269:Femur / Q000601:surgery*; D005354:Fibrosarcoma / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D010027:Osteotomy; D012086:Reoperation