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Correction - h6 ( device code).The reported event could be confirmed, as radiolucence and potential loosening are visible for both components.However, no clear loosening is definitively visible in either the talus or the tibia.Device inspection was not possible, as the product was not returned for investigation.A review of the device history for the reported lot did not indicate any abnormalities.No corrective actions are required at this time.A review of the labeling did not indicate any abnormalities.No indications of material-, manufacturing-, or design-related problems were found during the investigation.Upon further investigation of the ct scans, healthcare professionals opined that radiolucence and potential loosening are visible for both components.However, no clear loosening is definitively visible in either the talus or the tibia.The tibial component shows some anterior elevation and areas of condensed bone.The site reported suspicion of potential loosening of the talar component; however, based on the available images, involvement of either component cannot be ruled out.The underlying cause of a potential loosening that may be identified intraoperatively is unclear, but may be related to patient-related factors, such as poor bone substance.Failure of total ankle replacement (tar) over time is a known complication.In the case of a planned revision procedure, a medical opinion aimed at determining the root cause of the failure is part of the internal investigation process.Sufficient radiological and clinical information must be provided to enable a meaningful clinical assessment and to identify possible causes of failure.When a ct scan is the only available clinical source, this assessment is limited.No conclusive statement can be provided because key clinical information, such as clinical status, exact symptoms, range of motion, and assessment by the treating physician, is missing.The root causes of radiographic findings, such as radiolucent areas and bone cysts, are often complex and multifactorial and cannot be determined scientifically without this decisive evidence.Due to these limitations, statements regarding the patient, the procedure, or the device in relation to the cause of failure cannot be provided.Based on the investigation, the issue most likely occurred due to patient-related factors, such as poor bone substance; however, more detailed information regarding the complaint event and the affected device is required to determine the root cause of the complaint event.If the device is returned or additional information is provided, the investigation report will be reassessed.
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