Reported event: an event regarding loosening involving a distal femoral replacement, femoral collar was reported.The event was confirmed by x ray review.Method & results: device evaluation and results: not performed as product was not returned.Clinician review: a review of the provided x-rays by a clinical consultant indicated: the implant in situ was for ps distal femoral replacement which was inserted in (b)(6) 2017.The surgeon reported loosening femoral collar.The ct image provided shows a gap between the bone resection and ha collar.The bone near the resection has some radiolucency but mainly undergone severe bone resorption and remodelling with large bone defect on the medial side, which could lead to loosening of the stem.Therefore, the radiographic review can confirm the clinical report and reason for revision.Device history review: review of the product history records indicate the device was manufactured and accepted into final stock with no reported discrepancies.Complaint history review: there have been no other events for the lot referenced.Conclusion: the exact cause of the event could not be determined because insufficient information was provided.Additional information including operative reports, pathology reports, progress notes, and return of the device are needed to fully investigate the event.If further information becomes available or the product is returned, this investigation will be re-opened.
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