STRYKER ORTHOPAEDICS-MAHWAH UNKNOWN_TRIATHLON TIBIAL BASEPLATE; PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO
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Catalog Number UNK_JR |
Device Problem
Loss of Osseointegration (2408)
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Patient Problems
Injury (2348); Joint Laxity (4526)
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Event Date 06/01/2020 |
Event Type
Injury
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Manufacturer Narrative
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It was noted that the device is not available for evaluation.Should additional information become available, it will be provided in a supplemental report upon completion of the investigation.
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Event Description
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Surgeon provided pictures of an explanted triathlon ps insert.On followup, the following were reported to r&d for advanced materials & processing: patient's knee was revised.Confirmed no infection.Severe varus deformity with varus thrust.Medial subluxation noted intra-operatively.On the lateral side, the cemented baseplate was lifting off.Liner became deformed as a result.It is unknown at the time of report what steps were taken to address the tibial baseplate.
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Event Description
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Surgeon provided pictures of an explanted triathlon ps insert.On followup, the following were reported to r&d for advanced materials & processing: patient's knee was revised.Confirmed no infection.Severe varus deformity with varus thrust.Medial subluxation noted intra-operatively.On the lateral side, the cemented baseplate was lifting off.Liner became deformed as a result.It is unknown at the time of report what steps were taken to address the tibial baseplate.
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Manufacturer Narrative
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Reported event: an event regarding loosening involving an unknown triathlon baseplate was reported.The event was not confirmed.Method & results: product evaluation and results: material analysis, visual, functional and dimensional inspections could not be performed as the device was not returned.Clinician review: a review of the provided medical records and x-rays by a clinical consultant indicated: "the undated and unlabeled ap knee x-rays (one left, the other unlabeled) presumably preoperative to the revision showed some possible loosening of the tibial component and indeterminate rotation of the femoral component.The undated right lateral x-ray (partial clipped image attached as well), showed that appeared to be well fixed and positioned implants with calcifications/ heterotopic bone in the capsule posteriorly and some over-growth anteriorly.Adverse event identified: knee instability with polyethylene damage (pitting, discoloration, delamination) leading to right knee revision surgery.Hazard: none clearly related to implant.Conclusion of assessment: the knee was revised due to ligamentous instability.The polyethylene damage was likely the result of the knee's instability.Obtaining the implant may provide insight into the mechanism of failure and confirm lack of inherent polyethylene defects." product history review: not performed as the device lot details were not provided.Complaint history review: not performed as the device lot details were not provided.Conclusions: clinician review on the provided medical records did not confirm the baseplate loosening.It is unknown at the time of report what steps were taken to address the tibial baseplate.The exact cause of the event could not be determined because insufficient information was provided.Further information such as device details and return of the device are needed to complete the investigation for determining root cause.No further investigation for this event is possible at this time.If devices and / or additional information become available to indicate further evaluation is warranted, this record will be reopened.
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