Successful hip revision surgery following refracture of a modern femoral stem using a cortical window osteotomy technique: A case report and review of literature

Figure 1 X-ray. A: Antero-posterior preoperative X-ray of both hips where severe bilateral osteoarthritis is observed. A marked narrow endomedular canal is observed; B: Anteroposterior X-ray of both hips 5 years after operation, showing rupture at the proximal middle third level of the femoral stem; C: Immediate postoperative X-ray, showing femoral revision surgery. Trochanteric osteotomy and a poor proximal cement mantle are shown; D: Anteroposterior X-ray of both hips, 2 years after revision surgery, showing a further rupture of the Exeter^® stem, at the level of prior femoral osteotomy.