Reported event: an event regarding revision involving an accolade stem was reported.The event was not confirmed.Method & results: device evaluation and results: not performed as product was not returned.Clinician review: a review of the provided medical records by a clinical consultant stated that : one month after index tha the patient underwent revision surgery for instability.It is unclear why the stem needed to be exchanged.On the post revision xray there is a circlage wire, it is not known if this was for prophylaxis against, or treatment for , calcar fracture.Further clarification from the clinician noted," dislocation of a right pressfit tha is confirmed by pre-operative x-rays.Without further confirmatory information such as an operative report and implant sheet it is not possible to be certain that the stem was revised.The stem has the same appearance and is in the same position as the pre-operative stem.However, post revision x-rays show the presence of a cerclage wire around the proximal femur.This wire would have been placed for one of two reasons.1.For prophylaxis against fracture when attempting to remove the stem or when inserting a new stem.2.A fracture did occur in the process of removal or insertion of a stem.That being stated without the documentation noted above revision of the stem can not be confirmed." device history review: all devices were manufactured and accepted into final stock with no relevant reported discrepancies.Complaint history review: there have been no other similar events for the reported lot.Conclusion: it was reported that the patient was revised due to instability.A review of the provided medical records by a clinical consultant stated that : one month after index tha the patient underwent revision surgery for instability.It is unclear why the stem needed to be exchanged.On the post revision xray there is a circlage wire, it is not known if this was for prophylaxis against, or treatment for , calcar fracture.Further clarification from the clinician noted that dislocation of a right pressfit tha is confirmed by pre-operative x-rays.Without further confirmatory information such as an operative report and implant sheet it is not possible to be certain that the stem was revised.The stem has the same appearance and is in the same position as the pre-operative stem.However, post revision x-rays show the presence of a cerclage wire around the proximal femur.This wire would have been placed for one of two reasons.1.For prophylaxis against fracture when attempting to remove the stem or when inserting a new stem.2.A fracture did occur in the process of removal or insertion of a stem.That being stated without the documentation noted above revision of the stem can not be confirmed.The event could not be confirmed nor the exact cause be determined because insufficient information was provided.Additional information including operative 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.H3 other text : device not returned.
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