Abstract: A bone milling guide apparatus and method for preparing the proximal end of a femur to receive a hip stem prosthesis in snug-fitting relationship. The ball portion of the femur is removed using conventional surgical techniques to expose the underlying cancellous bone. An axial bore is drilled in the intramedullary canal to receive the distal portion of the hip stem prosthesis. The proximal end of the axial bore is reamed to form a tapered recess which is dimensionally configured to receive a portion of the external surface of the proximal end of the hip stem prosthesis. A tapered, hollow body is inserted into the tapered recess and supports a U-shaped template extending outwardly therefrom. Each arm of the U-shaped template is affixed to the tapered, hollow body on each side of a longitudinal slot in the side of the tapered, hollow body.

Abstract: A modular hip stem prosthesis including a hip stem with an integral, enlarged shoulder and a neck section mountable to the hip stem. The integral, enlarged shoulder is designed to closely conform to the metaphyseal region to securely mount the hip stem in the end of the femur. The enlarged, shoulder portion of the hip stem is also selectively configured to be fabricated as a separate element so as to allow one of a plurality of distal stems to be mounted to the enlarged shoulder to create the hip stem. The neck section readily adapts the hip stem prosthesis for repair and replacement of the components of the total hip replacement without requiring replacement of the hip stem.