Further to her initial email, the patient added that her toe has currently a bunion like appearance and that she is experiencing discomfort in regular footwear which has never been a concern even with the bone spurs/ protrusions on the first toe due to a childhood injury.As a part of complaint investigation, a review of the dhrs of the patient's implant was conducted and verified that all devices were built to specification.Patient provided x-ray copies of pre-op, post-op at 4 weeks and 8 weeks to arthrosurface showing a slight gap between the first and second metatarsals.X-rays showed no signs of loosening or malorientation of the implant.The exact reason for shifting of the patient's toe is unknown and cannot be concluded with the limited information available for investigation.An orthopedic physician consulted by arthrosurface expressed that there is no issue with the implant and patient needs her tmt joint to be evaluated and may require a lapidus procedure.This information was relayed to the patient.Any further information received from the patient will be reviewed for reportability and submitted accordingly.Below are the device components implanted in the patient.Part # 9m52-2545-w, lot #75ei0237, mfg.Date: 05/23/2019, exp.Date: 05/23/2026.Part # 9095-0018-w, lot #75gi3154, mfg.Date: 08/14/2019, exp.Date: 08/14/2024.Part # 9p15-pb01-w, lot #75ei0210, mfg.Date: 05/06/2019, exp.Date: 05/06/2026.Part # 9p15-s180-w, lot #75gi0155, mfg.Date: 07/08/2019, exp.Date:07/08/2024.
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