Due to the lifespan extension and better survival of patients with malignant diseases treated with joint replacement, the need for revision surgery will continue to increase. One of the reasons for revision surgery is mechanical failure of the prosthesis. Although not a common occurrence, the fractures of femoral stems have been previously described [
2‐
6]. Factors predisposing to this form of stem failure include excessive patient weight, high levels of physical activity, deficient osseous support, malposition or loosening of the stem, the presence of a stress riser, and a reduced cross-sectional area within the stem [
5,
7‐
10]. Sotereanos
et al. found two fractures of the stem in 122 patients (1.6 percent) using an extensively coated single-sized cobalt-chrome femoral component [
3]. Lakstein
et al., in a study of 72 hips at five to 10 years of follow-up, reported one stem fracture at the modular junction [
6]. Paprosky
et al. found 6 percent of femoral component fractures after revision hip arthroplasty [
2]. Efe
et al. reported mechanical failure of four noncemented modular revision stems over a period of 28 months [
11]. Various techniques have been developed for the removal of a well-fixed cementless femoral stem [
1,
12‐
15]. Glassman
et al. used a technique with trephine reamers for stable implants and required interface access and division before their removal. Minimal bone damage was incurred, and in no case was reconstruction precluded by stem removal. There were no unplanned cortical perforations but two minor femoral fractures occurred [
1]. Babis
et al. also used a technique described by Glassman with motorized trephine reamers in two cases of fracture of femoral stem. They experienced one wear of the cutting heads, and one perforation to the posterior cortex of the femur [
15]. Kim
et al. used a microsagittal saw after creating a cortical window and this method can be applied to any kind of cementless stem and has the advantage of preserving the proximal portion of bone but necessitates special microsaws and the creation of a cortical window [
12]. Moreland
et al. also described the window technique for the removal of a fractured femoral stem [
14]. Tanaka
et al. used trephine reamers in removing a fractured femoral component in knee megaprostheses following tumor resection [
13]. Although they are useful, they all have limitations and disadvantages. These techniques for the removal of a broken femoral stem complicated by femoral perforation or fracture have required the creation of a cortical window or have not been sparing of the remaining bone stock. The technique with trephine reamers is time-consuming and bone must be irrigated to avoid heat damage [
15]. They are also complicated by using surgical instrumentary that is not standard and available at any operating room, such as a microsagittal saw [
12] or special hollow trephines [
1,
13,
15]. The precise and useful technique of revision surgery in the case of a fractured prosthesis is very important in order to conserve bone stock, thus achieving good revision results, preserving hip function and avoiding complications. Our technique is a simple and effective way of contesting the two main technical issues in dealing with a fractured prosthesis. First, it provides a facile and strong grip of the stem with wide-grip pliers, and second, it enables the hammering out of the stem with little resistance. It is time sparing and conserves enough bone stock, which is scarce enough in any revision surgery, especially after large tumor resections. Our technique can be easily performed with ordinary surgical instrumentary; technically, it is simple and reproductive. It can be applied to fractured femoral stems as well as for intramedullary nails regardless of the cross section of the implant. Postoperative bone healing is promoted by the excellent adaptation of the osteotomy line. Damage to the periosteum is only done during osteotomy through the anterior cortex and is minimized, which also promotes bone healing. Good fixation of the new revision prostheses can be made due to bone stock conservation and the excellent adaptation of the osteotomy line. This enables early mobilization and rehabilitation of the patient, minimizing the postoperative complications.