The reason for this revision surgery was reported due to not having adequate fixation on the glenoid.The previous surgery and the surgery detailed in this event occurred 1.3 years apart.Initial and prolonged hospitalization was required.The healthcare professional indicated that there was a significant adverse event to the patient.There was no delay in surgery and another suitable device was available for use.The revision surgery was completed as intended.The devices were disposed of at hospital and not made available to djo surgical for examination.A review of the device history records (dhr) show that the reported components used in the previous surgery, when released for use, met design and manufacturing requirements.There were no non-conforming material reports (ncmr) associated with the products that may have contributed to the reported event.The devices were verified to have gone through an acceptable sterilization process and were within its expiration date at the time of the previous surgery.Customer complaint history of the reported devices showed no present trends or on-going issues that are needing a review.The root cause of this complaint was a revision surgery due to not having adequate fixation on the glenoid.There were no findings during this evaluation that indicate that the reported devices were defective.No other information was submitted with the complaint regarding pre-existing conditions of the patient or any activities the patient was involved in that may have contributed to the event.There are multiple factors that may contribute to an event that are outside the control of djo surgical.There are no indications of a product or process issue affecting implant safety or effectiveness.
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Revision surgery - ultimately, the baseplate and all implants associated with it did not have adequate fixation on the glenoid, causing pain and limited mobility for the patient.They were all removed, along with the insert and +8mm spacer, the latter of which to aid in the removal of the baseplate components.Since there was not adequate bone stock left in the glenoid, doctor opted to convert to a hemi-arthroplasty to allow the glenoid to heal as much as possible for a possible future revision conversion back to reverse.
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