“…Vascular complications following THA are rare and its documentation in the literature is meager [ 5 , 6 ]. Vascular injuries are unfortunate for a surgeon as they can result in the loss of a patient’s limb or life [ 7 - 9 ]. Vascular injuries can be the result of direct injury by prosthetic components such as screws, cement, cables, anti-protrusio cages, and threaded acetabular components, or by indirect trauma due to extensive soft-tissue release, retraction of soft tissue, use of spike retractors, and drilling through the acetabulum [ 2 , 3 , 10 ].…”