Removal of the Well-Fixed Hip Resurfacing Acetabular Component: A Simple, Bone Preserving Technique

Removal of the acetabular component of a hip resurfacing prosthesis is occasionally necessary for infection, malposition, metal sensitivity, wear, or as a necessary part of a femoral revision. Extraction of a well-fixed acetabular component can be technically demanding as it is often extremely well integrated into host bone and can result in catastrophic bone loss or fracture. We present an undescribed, simple technique that enables use of the Explant system (Zimmer, Warsaw, Ind) to remove the component with minimal bone loss and reduce fracture risk. Bone stock is therefore preserved for subsequent cup reimplantation.