The liner was received locked inside the acetabular shell and was unable to be removed.Wear and yellowish discoloration consistent with long term service in vivo was observed.Explantation damage was observed as well.Dimensional and functional inspections were not performed as there is no indication the event is related to a dimensional or functional issue as the device was implanted without issue and in service for 19 years.Clinician review of the provided information determined the likely root cause of the revision to be osteolysis and loosening of the shell secondary to poly wear.The consulting clinician stated that acetabular liner wear 19 years after implantation is not unexpected.There is no indication at this time that the design, materials, or manufacturing of the subject device contributed to the event.If additional information becomes available, this investigation will be reopened.
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