Reported event: an event regarding limb length discrepancy involving a jts, total femur, extension mechanism was reported.The event was confirmed by x ray review.Method & results: device evaluation and results: not performed as product was not returned clinician review: the implant in situ was for a jts total femoral replacement which was inserted in 2017.The surgeon reported that the patient had muscle contracture and the knee joint was in flexion.The ct scan provided showed that the femoral component is aligned and engaged with the tibial component, but the knee is in flexion which might indicate that the knee joint cannot be straightened which may be due to muscle contracture.In addition, measuring from the ct scan showed that the affect femur is over 30 mm shorter than the opposite femur.Therefore, the radiographic review can confirm the clinical report.Device history review: review of the product history records indicate 1 device was manufactured and accepted into final stock on 06 feb 2017 with no reported discrepancies.Complaint history review: based on the device identification the complaint databases were reviewed from 01-jan-2017 to present for similar reported events regarding a jts, total femur, extension mechanism, limb length discrepancy.There have been no other events.Conclusion: the exact cause of the event could not be determined because insufficient information was provided.Additional information including operative reports, pathology reports, progress notes, and return of the device are needed to fully investigate the event.If further information becomes available or the product is returned, this investigation will be re-opened.Siw will continue to monitor for trends.Corrective action/preventive action: no action is required at this time as there is no indication to suggest a product non-conformity or unanticipated hazard.
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