A minimally invasive technique to remove broken cemented stems and its reconstruction with cement-in-cement.

Introduction:: Historically the removal of fractured stems was associated with complex revision and loss of bone stock. This study describes a minimally invasive procedure for extraction of the distal part of a broken cemented stem that does not compromise the bone stock and results with the cement-in-cement reconstruction technique.

Materials And Method:: 7 patients with an average age of 74 years who underwent total hip replacement (THR) revision for fracture of femoral stems were included.