Femorofemoral Bypass Occlusion in the Contralateral Leg Following Total Hip Arthroplasty

Total hip arthroplasty is an effective operation for treating hip osteoarthritis, carrying with it a high success rate and low rate of complications; especially vascular complications. We are reporting an incidence of femorofemoral artery bypass graft occlusion and subsequent contralateral acute limb ischemia during a total hip arthroplasty through a posterior approach with use of a hip positioner. The patient was taken back to the operating room on the same day for thrombectomy of the femorofemoral bypass graft, profunda femoris, and superficial arteries in addition to 4 compartment fasciotomies. The purpose of this case report is to educate readers about risk factors, prevention methods, and necessary post complication procedures for this rare but serious complication.