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Author Notes:

Nickolas B. Reimer, Department of Orthopaedic Surgery, 59 S Executive Park NW, Atlanta, GA 30329, USA. Tel.: þ1 404 778 7777. nickolas.reimer@emory.edu

One or more of the authors of this paper have disclosed potential or pertinent conflicts of interest, which may include receipt of payment, either direct or indirect, institutional support, or association with an entity in the biomedical field which may be perceived to have potential conflict of interest with this work; For full disclosure statements refer to supplementary data.



  • Arthroplasty
  • Complication
  • Pseudoaneurysm
  • Revision
  • Total hip
  • Vascular

External iliac pseudoaneurysm secondary to medial wall penetration of an acetabular screw: a rare cause of total hip arthroplasty failure 15 years after implantation

Journal Title:

Arthroplasty Today


Volume 5, Number 3


, Pages 264-268

Type of Work:

Article | Final Publisher PDF


Vascular injury as a result of total hip arthroplasty (THA) represents an uncommon complication. Although these injuries typically present acutely, delayed presentation has been reported. In this case, a 70-year-old female presented with groin pain and medial thigh numbness 15 years after a left THA. After initially being misdiagnosed, repeat imaging revealed a large external iliac pseudoaneurysm as a result of a transacetabular screw penetrating the medial acetabular wall. The patient underwent staged endovascular exclusion of the pseudoaneurysm, percutaneous drainage, and revision THA. She had resolution of her symptoms. To our knowledge, this is the only reported case of a late vascular injury related to an aseptic THA with well-fixed components. Staged treatment with endovascular exclusion and revision THA is a viable approach.

Copyright information:

© 2019 The Authors.Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons.

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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