BACKGROUND Revision of a well fixed cemented acetabular component can lead to significant bone loss. This can be avoided with the in-cement revision technique. We report the use of the Explant ® (Zimmer, Swindon, UK) acetabular cup removal system for revision of an Exeter™ (Stryker, Newbury, UK) metal backed cup with preservation of the original cement mantle, allowing subsequent cement-in-cement revision.
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