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It was reported that a patient underwent a total joint arthroplasty of touch cmc1 prosthesis.Subsequently, the patient underwent revision surgery, due to pain.Intraoperatively, there was evidence of significant metallosis and pe liner breakage.
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The reported event could be confirmed since the affected device was returned for investigation.Based on the available information, the incident is not attributed to a manufacturing or design defect of the specific returned device.Retrieval analysis confirmed a fracture of the liner component, with a crack propagation that extends almost the entire liner.Review of the available medical imaging identified a cup angulated, which confirms the surgeon's statement.After a thorough investigation (returned device, dhr review, complaint history review), it appears that the fracture is most likely due to the cup angulation leading to intraprosthetic conflict as per the surgeon statement.
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