(b)(4).Concomitant products: cat# 30103604 g7 vit e neutral lnr 36mm d lot# 65052206; cat# 00877503604 biolox⮠delta, ceramic femoral head, xl, 㸠36/+7, taper 12/14 lot# 3052293; cat# 574202030 avenir cmpl ha ho col size 3 lot# 3044581.Customer has indicated that the product will not be returned to zimmer biomet for investigation.The investigation is in process.Once the investigation has been completed, a follow-up mdr will be submitted.Multiple mdr reports were filed for this event, please see associated reports: 0001822565 - 2021 - 01782.
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This follow-up report is being submitted to relay additional information.Reported event was confirmed due to the review of medical records.Medical records/radiographs were provided and reviewed by a health care professional.Review of the available records identified the following: nondisplaced periprosthetic right proximal femur fracture; right acetabular fracture which extends into anterior inferior iliac spine, posterior superior acetabular roof, and likely into the right pubic root, small osseous fragment along the posterior inferior margin of the acetabulum adjacent to the acetabular cup.Patient was doing well until 4 days prior to ed arrival complained of worsening right hip pain and difficulty bearing weight prompting ed visit, diagnosed with ppfx, no evidence of dvt.Denies falls or recent trauma since her surgery but does report having difficulty getting onto her bed, which may have precipitated this event.No evidence of gross purulence or infection, loose femoral component, well-fixed and well-positioned acetabular component, hip abductors intact.Patient fell and sustained a periprosthetic femur fracture around the femoral stem; this was an early postoperative fracture so the stem was not ingrown.Loosening not called out as it is a result of the fall/fracture, and not enough time has passed for ingrowth to take place.Limb lengthening planned to reduce risk of instability.Cup left in place, all other components revised without complication device history record (dhr) was reviewed and no discrepancies were found.Root cause was unable to be determined.If any further information is found which would change or alter any conclusions or information, a supplemental will be filed accordingly.Zimmer biomet will continue to monitor for trends.
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