Use of a Custom Stemless Anatomic Femoral Component for an Incarcerated Femoral Reamer

Most modern femoral components used in total hip arthroplasty have stems that engage a certain length of the femoral diaphysis. Retained hardware can pose a problem with placement of the femoral component during total hip arthroplasty and often require removal. A patient presented for total hip arthroplasty with a retained reamer in the proximal femur from a previous revision knee arthroplasty. The reamer’s position precluded placement of a standard femoral component without removal of the reamer. We report the use of a stemless anatomical femoral component, which avoided having to remove the retained reamer.