This report is for an unknown cable-wire / unknown lot.Part and lot numbers are unknown; udi number is unknown.Without a lot number the device history records review could not be completed.Product was not returned.(b)(4).Device was used for treatment, not diagnosis.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.(b)(4).
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This report is being filed after the review of the following journal article: gunadham, u.And kongkreangkrai, t.(2019), femoral artery entrapment after cerclage wiring of distal femoral shaft fracture: a case report, journal of orthopaedics, trauma and rehabilitation, vol.26 (1), pages 39-42, https://doi.Org/10.1016/j.Jotr.2018.05.004, (thailand).This study presents a case report of an (b)(6) year-old female patient who had a displaced, oblique fracture of the distal shaft of the left femur.She underwent open reduction and internal fixation with distal femur locking compression plate augmented with cerclage wiring (figure 2).During cerclage wiring, the single wire was placed in regular subperiosteal fashion with the assistance of a standard l-size cerclage passer (depuy synthes, pa) (figure 3).Six hours after the operation, her left leg was colder than the other side without severe pain.Her dorsalis pedis and posterior tibial pulse were absent when detected by both palpation and doppler ultrasound.Computed tomography angiogram was performed and revealed superficial femoral artery entrapment by cerclage wire on her left femur with near-total occlusion (figure 4).Emergency cerclage wire removal and femoral artery exploration were performed and found that the cerclage wire belted directly over superficial femoral artery with some muscle tissue encasement.After cerclage removal, the superficial femoral artery had normal flow, and both dorsalis pedis and posterior tibial pulse could be palpated.This report is for an unknown synthes wires.This is report 1 of 1 for (b)(4).
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