Pcf and medical records received.After review of medical records, patient was revised to address failed left total hip replacement, aseptic loosening of left total hip replacement, and failed metal-on-metal total hip arthroplasty.Patient was with a painful left total hip, was found to have aseptic loosening of her left femoral stem, and was also found to have a metal-on-metal total hip arthroplasty.Operative notes stated that the short external rotators were identified and tagged for later repair.The femoral stem was grossly loose and was able to move it by hand.The s-rom ztt proximal sleeve and stem were well connected.The hoop extractor was used and following removal of lateral bone with a high-speed bur, the stem was removed without any bone loss.It was grossly loose.Reverse curettes were used to clean the pseudomembrane out the femoral canal.Scar and pseudocapsule was debulked.The leg lengths with disarticulation were recreated.The patient was short prior to surgery from the loose subsided stem.Doi: (b)(6) 2011 - dor: (b)(6) 2019 (left hip).
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Product complaint # : (b)(4).Investigation summary: no device associated with this report was received for examination.The information received will be retained for potential series investigations if triggered by trend analysis, post market surveillance, or other events within the quality system.Depuy considers the investigation closed.Should additional information be received, the information will be reviewed, and the investigation will be re-opened as necessary.
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