Anterolateral Bone Window for Revision Broken CementedStem of Unipolar Hemiarthroplasty

Fractured stem of the hip prosthesis is well documented in the literature. Although it is rare, it is considered as achallenging problem. Many techniques have been described to solve this problem.Purpose of the Study. Evaluation of the effect ofanterolateral bone window for extraction of the cemented femoral stem of hemiarthroplasty in revision total hip replacement.Methods. (e study included eight revision hip arthroplasties in eight patients, with a broken stem of cemented ((ompson)hemiarthroplasty, which has been revised by the anterolateral proximal femoral window. All cases received cemented cups andcement-in-cement stems, except one case who received cementless long stem. Clinical follow-up of cases by Harries hip score(HHS) and X-ray.Results. Functional improvement of HHS of all cases, with no signs of loosening, after a mean follow-up periodof 1.5 years.Conclusion. Extraction of broken stem is a challenging procedure. Many techniques have been described for revisionof cases with a fractured stem of hip prosthesis, but we think that the anterolateral femoral bone window is a reproducibletechnique due to the characteristics of simplicity, short-time procedure, less invasive, not requiring extra instruments, and can besuccessful for most patients.