It was reported that the surgeon performed a revision surgery (of an unk device).During surgery the surgeon discovered a shortage of the panta screws and the size 10 panta nail.The surgeon had to over ream one bigger size in a small bone with the risk of penetrating the tibial cortex and he had to cut the screws.Additional info received on (b)(6) 2014.The patient is (b)(6) with multi deformities due to a "renal problem." her left hind foot was grossly unstable and was previously operated on in another facility with an 'unk' nail.She presented to the surgeon with an exposed screw and a failed fusion.The surgeon removed the hardware of the previously performed hind foot fusion and used a panta nail and the head of the patient femur as allograft.Due to the shortage of the devices reported by the surgeon, he had to cut the screws and the surgery time was increased about one hour.There was no injury or adverse consequence to the patient reported.The surgeon reported that he had 'enough experience with panta nail and was able to manage the problem.'.
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