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It was reported a patient had an initial right total hip arthroplasty followed by a revision five months post-operative due to three recurrent dislocations.A second revision was performed approximately 9 years due to pain and ossification.Two months post-second revision, patient underwent a dair for wound dehiscence a third revision due to recurrent dislocations.Following the revision, experienced excruciating pain due a fractured acetabular screw and underwent a fourth revision.During the procedure, the patient reports, the construct fell part in the surgeons and the gluteus muscles were damage.Subsequently, following the procedure, the right quad muscle is not firing, leading to an inability to walk.The patient is alleging that during the fourth revision, a nerve was flattened from either the fractured screw or the procedure.Nerve conduction studies have been performed and identified femoral neuropathy.All implants remain implanted at this time and then patient is planning to be admitted to an inpatient rehabilitation center for an intense rehab program.Attempts have been made and no further information has been provided.
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(b)(4).D10: cat# 110010269 lot#66175382 g7 osseoti multihole 62mm h.Unk biomet stem.Unk modual cocr head 28mm +6 neck.Unk g7 liner dm liner 44mm.No product was returned or pictures provided of the products; visual and dimensional evaluations could not be performed.Images were provided of the incision wounds, however is not relevant for the reported event.Review of the device history records identified no deviations or anomalies during manufacturing.Medical records were provided and reviewed by a health care professional.Review of the available records identified the following: patient had a revision due to pain as a result of a fractured acetabular screw.The patient noted on follow-up that during the procedure the construct fell apart and the gluteus muscles were damaged.Since the procedure, the quads have not fired and patient is unable to walk and uses a wheelchair majority of the time.The patient suspects the nerve was flattened from either the fractured screw or procedure.A nerve conduction study was carried out and results shared suggests severe acute denervation changes in the vastus lateralis with early reinnervation changes.This is consistent with severe right femoral neuropathy.Patient is planning to be admitted in rehabilitation centre.No further information was provided.A definitive root cause cannot be determined.If any further information is found which would change or alter any conclusions or information, a supplemental will be filed accordingly.Zimmer biomet will continue to monitor for trends.
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