**4. Conclusion**

Conclusively, vascular injuries are rare in hip replacement surgeries. Careful preoperative planning, better instrumentation, knowledge of anatomical structures and meticulous surgical technique are necessary to avoid vascular injury. In advent screw penetration leading to vascular injuries can present early as hemorrhage during surgery, in the intermediate term as postoperative bleeding, hypotension, etc., and late as pseudoaneurysms. Further, management of these complications is beyond the scope of this chapter which focuses on prevention of these injuries rather than its management.
