[A simple technique of removal of femoral cement plug in total hip prosthesis revision].

During replacement of loosened or painful cemented femoral prosthetic stem, the extraction of a large size distal cement plug is rarely an easy matter. To make it simple, quick and safe (no wide surgical exposure, no X-ray exposure) we propose a new technique based upon the perforation of the cement plug by a drill which crosses a jig inserted into the cavity where the femoral stem had been removed. Correctly used the procedure can help the surgeon to solve the difficult problem of removing the femoral cement plug and consequently it can allow the placement of a biomechanically ideal conventional length femoral component into a femur not weakened by a perforation, a fenestration or an osteotomy.