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It was reported that approximately seven weeks after implantation, the patient underwent a revision surgery due to a femoral head fracture.There was no reported trauma, and the cause of the fracture remains unknown.Due diligence is in progress for this complaint; no further additional information or product has been received at the time of this report.
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(b)(4).This follow-up report is being submitted to relay additional information.The following sections were updated: b4, b5, d9, g3, g6, h2, h3, h6, h11.A visual review of the returned ceramic head confirmed that it had fractured.Four fractured pieces were received for evaluation.The pieces show dark marks in the taper hole and on the fracture surfaces, indicating metal transfer.Biological discoloration was also observed on multiple pieces.The visible taper area shows near-circumferential metal transfer, consistent with proper fixation of the head.The fracture surfaces contain metal transfer as well, indicating that the head remained in vivo after the fracture occurred.This likely damaged or obscured key fracture features.A review of the device manufacturing records confirmed no abnormalities or deviations.Review of the complaint history identified additional similar complaints for the reported item and no additional similar complaints for the reported part and lot combination.Complaints are monitored per complaint trending process.Radiographs were provided and reviewed by a radiologist.The review identified that the proximal femoral head implant is fractured and there is mild subluxation of the arthroplasty secondary to the fractured femoral head implant, without dislocation or osseous fracture.There is no evidence of implant loosening.No cause of the femoral head implant is identified.The returned ceramic head exhibited fracture with evidence of near-circumferential metal transfer in the taper area indicating proper fixation.However, with the available information a definitive root cause could not be determined.If any further information is found which would change or alter any conclusions or information, a supplemental report will be filed accordingly.Zimmer biomet will continue to monitor for trends.
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