Abstract
A 67 year old man presented with acute right lower extremity ischaemia (Rutherford stage IIb) following total hip replacement. Digital subtraction angiography demonstrated occlusion of the femoral bifurcation (red arrow; A). During open surgery, an extensive thermal injury related to the prosthesis implantation was seen on the arterial wall and in the surrounding soft tissue; furthermore, a fistula (white arrow) was detected to the hip joint. The arterial bifurcation was replaced using autologous saphenous vein (B). The patient had an uncomplicated post-operative recovery and was discharged for rehabilitation with a patent vascular reconstruction.
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