Litigation alleges loosening.
Update ad 16 nov 2021 ppf, pfs and medical records received.
Ppf has no new allegation.
In addition to what previously alleged, pfs alleges stiffness and discomfort.
After review of medical records patient was revised was due to loose acetabular component.
Operative notes indicated that there were osteophytes present superiorly and anteriorly as well as soft tissue had to be debrided.
The broken screw could be seen at that point.
It appeared that the flange on the screw head had broken off or worn away and the screw had bent with almost 90 degrees angle posteriorly as the cup traveled posteriorly.
The overall quality of the acetabulum was good.
There were cystic areas but there were also very sclerotic areas an unusual undulating areas of sclerotic bone presumably due to metal impingement and reaction to wear.
There were adhesion present, tendonitis, some slightly grayish fluid and the screw was sitting proud.
Doi: (b)(6) 2008 - dor: (b)(6) 2011 (right hip) first revision.
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