The manufacturer became aware of a post market clinical follow-up (pmcf) from (b)(6).The title of this report is ¿a post-market clinical follow-up (pmcf) of the treatment of tibial fractures with the t2 tibial nailing system¿ which was published in june 2018 and is associated with the t2 tibial nailing system.Within that publication, postoperative complications/ adverse events were reported, which occurred between november 2012 to september 2017.It was not possible to ascertain specific device or patient information from the article, a review of the complaint handling database, however, revealed that the events have not been reported by the hospital or by the author of the publication, therefore 66 complaints were initiated retrospectively for different adverse events mentioned in the journal.This product inquiry addresses screw backout.Two out of 2 cases.The pmcfr states: ¿subject was a (b)(6) caucasian female, with a left closed tibia fracture after being a pedestrian struck while crossing the street.Health history was significant for osteopenia.No other concurrent injuries or orthopaedic injuries.Subject went to the operating room and had a t2 tibia nail with proximal screws in the transverse (medial to lateral and lateral to medial) and oblique modes with 2 distal screws in 1 plane.Subject was discharged on pod #2 to acute rehabilitation, toe-touch weightbearing.At a follow-up visit, pod #50, subject had the distal of the proximal screws, the transverse one, seems to have baked out.Recommended to monitor.At the 3 month follow-up visit, the screw back-out was noted to be stable and did not back out any further.At the 13 month follow-up, subject went on to have bone consolidation and 2 proximal screws were prominent but not tenting or causing subject any complaints.Subject was discharged from follow-up.¿.
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