Figure 2.

Anteroposterior and axial X-rays. (A,B) preoperative; (C,D) postoperative; (E,F) 3 year follow-up. A 79-year-old woman with aseptic loosening of a cemented stem and cup and eccentric PE wear; 27 years after primary THA; cup and stem revision with pressfit monobloc cup, additional screw fixation and cementless short stem; intraoperative posterior femoral perforation during cement removal with weak bone; fearing further perforation without osteotomy distal cement plug was left in place; last follow-up with healed bone and fixed short stem in place.