Anterolateral Bone Window for Revision Broken Cemented Stem of Unipolar Hemiarthroplasty

Figure 1

Sequence of events to extract fractured femoral stem. (a) Broken stem of Thompson prosthesis (b) rectangular bone window (1.5 cm width and 2.5 cm length) at the lateral aspect of the femoral shaft just distal to the lesser trochanter. (c) Small osteotome settled on the surface of the stem in an angle about 45° with the stem. (d) Hammering process to extract the distal part of the stem. (e) Cortical bone window is closed and secured with cerclage (diagrams were designed by Dr. Bahaaeldin Ibrahim).

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