An event regarding wear involving a triathlon insert was reported.The event was confirmed.Method and results: device evaluation and results: material analysis concluded; symmetrical wear, discoloration, burnishing, scratching, third body indentations and pitting were present on the triathlon insert.Discoloration is attributed to the absorption of synovial fluid.Burnishing, scratching, third body indentations and pitting are common failure modes of uhmwpe during in vivo use.No material or manufacturing defects were observed on the surfaces examined.Medical records received and evaluation: not performed as medical records were not provided.Device history review: the device was manufactured and accepted into final stock with no reported discrepancies.Complaint history review: there have been no other similar events for the lot referenced.Conclusions: material analysis concluded that the burnishing, scratching, third body indentations and pitting noted on the insert are common failure modes of uhmwpe during in vivo use.No material or manufacturing defects were observed on the surfaces examined.Further information such as pre- and post-operative x-rays, operative reports as well as patient details and history and follow-up notes are needed to complete the investigation for determining a root cause.No further investigation is possible at this time.If additional information becomes available to indicate further evaluation is warranted, this record will be reopened.
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