A Late Vascular Complication Due to Component Migration After Revision Total Hip Arthroplasty

Waqas M. Hussain*, Haroon M. Hussain, Mohammed S. Hussain, David W. Manning

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Although vascular injuries associated with primary and revision total hip arthroplasty are infrequent, these complications can have devastating effects that can lead to morbidity and even mortality. No previous reports have described embolic distal limb ischemia secondary to a failed and migrated acetabular implant in discontinuity with the pelvis. We present a novel case in which a screw from a failed and migrated acetabular cage construct led to injury of the superficial femoral artery. While awaiting the construction of a custom prosthesis, the patient developed thromboembolism leading to distal extremity ischemia. The patient was treated with thrombolytic therapy, anticoagulation, removal of the offending hardware, forefoot amputation, and later hip reconstruction. Recognition of the risks associated with failed and migrated components may prevent this complication in the future.

Original languageEnglish (US)
Pages (from-to)976.e7-976.e10
JournalJournal of Arthroplasty
Issue number6
StatePublished - Sep 2011


  • Amputation
  • Embolic ischemia
  • Revision total hip arthroplasty
  • Vascular injury

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine


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