Used to help remove a hip prosthesis stem via a window in the shaft of the femur. Two sizes of offsets allow the punches to be used to tap on a distal portion of the hip stem, after a window has been made in the femur below the tip of the stem. Can be used to help remove an intramedullary nail via a window in the shaft of a bone. Two sizes of offsets allow the punches to be used to tap on a distal portion of the nail, after a window has been made in the bone below the tip of the nail.