OBJECTIVE: To observe the efficacy of extensive microporous-coated non-cemented femoral prosthesis after artificial hip revision. METHODS: Between October 2007 and December 2011, eight cases of artificial hip revision with extensive microporous coated non-cemented femoral prosthesis were performed in our department. The mean age was 50.6 years, 4 males and 4 females. There were 2 cases of postoperative infection, 3 cases of aseptic loosening of the prosthesis, and 3 cases of periprosthetic fracture after artificial hip replacement. Acetabular side revision: 5 cases used acetabular brace and cemented high cross-linked polyethylene cup on the acetabular side, 1 case used cemented high cross-linked polyethylene cup, and 2 cases did not revise the acetabular side. Femoral side revision: Depuy AMI femoral prosthesis was used in 2 cases and Depuy Solution femoral prosthesis was used in 6 cases. The postoperative follow-up ranged from 6 to 59 months, with clinical functional evaluation by Harris scoring system, X-ray for prosthesis condition, and statistics on the incidence of complications. RESULTS: The preoperative Harris score was 11-56 with a mean of 32.8. The postoperative Harris score was 80-92 with an average of 85.5. The final postoperative follow-up X-rays of all 8 patients showed bony fixation of the femoral prosthesis, with no loosening or sinking of the prosthesis. Two of the infected patients had no recurrence of infection after surgery, and three of the fractured patients had good healing of periprosthetic fractures. CONCLUSION: Extensive microporous-coated non-cemented femoral prosthesis obtained good efficacy in the short- and medium-term follow-up after artificial hip revision. However, reasonable patient selection is needed to choose a reasonable revision prosthesis based on factors such as patient age and femoral condition. Extensive microporous coated uncemented femoral prostheses can be used for hip revision in patients with good physical and bone conditions.