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Corrected data: manufacturing site for devices.An event regarding crack/fracture involving a triathlon patella 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 remained implanted.Clinician review: a review of medical records with a clinical consultant indicated "confirmation of event: i can confirm that the patient had a total knee arthroplasty with a cemented patella component since i was able to review an x-ray with the implant in place.I cannot confirm the exact date.I cannot confirm a fracture of the patella component nor anything that would lead me to believe there was surgeon error.Root cause analysis: the root cause of this event cannot be determined with certainty.The causes of para patella pain with instability, crepitus and functional limitations are multi factorial including scar buildup, impingement, maltracking, and less likely loosening or mechanical failure (which i doubt).A bone scan might be of value to see if there is increased activity about the interior aspect of the patella, although as i said, i doubt fracture of the patella bone itself, and i don¿t see any fracture of the implant itself.Product history review: review of the device history records indicate the device was manufactured and accepted into final stock with no relevant reported discrepancies.Complaint history review: there have been no other similar events for the lot referenced.Conclusions: it was reported that the patient was revised due to fracture of the patellar component.A review of medical records with a clinical consultant indicated "confirmation of event: i can confirm that the patient had a total knee arthroplasty with a cemented patella component since i was able to review an x-ray with the implant in place.I cannot confirm the exact date.I cannot confirm a fracture of the patella component nor anything that would lead me to believe there was surgeon error.Root cause analysis: the root cause of this event cannot be determined with certainty.The causes of para patella pain with instability, crepitus and functional limitations are multi factorial including scar buildup, impingement, maltracking, and less likely loosening or mechanical failure (which i doubt).A bone scan might be of value to see if there is increased activity about the interior aspect of the patella, although as i said, i doubt fracture of the patella bone itself, and i don¿t see any fracture of the implant itself.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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