Late Femoral Component Revision for Femoral Canal Perforation

Femoral perforation during total hip arthroplasty is a rare complication. Most of the existing literature regarding the complication involves acutely recognized perforations. We report a case of femoral component revision for a symptomatic femoral perforation 12 years after a primary cementless total hip arthroplasty. The revision allowed for intramedullary component positioning, restoration of femoral length and offset, pain relief, and functional improvement. While management of this complication is debatable, we recommend revision in order to avoid future complications and optimize patient outcomes.