The literature article entitled, "the use of femoral struts and impacted cancellous bone allograft in patients with severe femoral bone loss who undergo revision total hip replacement" written by m.A.Buttaro, j.Costantini, f.Comba, and f.Piccaluga published by the journal of bone and joint surgery vol.94-b, no.2, february 2012 was reviewed for mdr reportability.The article identifies two cases with depuy products and adverse events that received femoral struts and impacted cancellous bone allograft in conjunction with depuy products.No other depuy products were identified.This complaint captures the 2nd identified case of a (b)(6) year old woman with a depuy c-stem implanted replacing an old charnley stem.After further literature article review, it was determined the charnley is depuy's and that it failed due to loosening.The article does not identify acetabular components if any present.Radiographs do not reveal acetabular implants.She also received "incorrectly positioned strut allograft" at the time of c-stem implantation and then suffered a transverse peri-prosthetic fracture of the femur at six months post-operatively.The c-stem was removed and replaced with a long stem bypassing fracture using "the in-cement technique preserving the proximal cement mantle" along with osteosynthesis plates.
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Depuy synthes is submitting this report pursuant to the provision depuy synthesof 21 cfr, part 803.This report may be based on information which depuy synthes has not been able to investigate or verify prior to the required reporting date.This report does not reflect a conclusion by fda, depuy synthes or its employees that the report constitutes an admission that the device, depuy synthes, or its employees caused or contributed to the potential event described in this report.Product complaint (b)(4).Investigation summary : no device associated with this report was received for examination.A worldwide lot specific complaint database search, or device history record (dhr) review, was not possible because the required lot number was not provided.Based on previous investigations, this complication of joint replacement is unlikely to have been the result of a device failing to meet required specifications.The information received will be retained for potential series investigations if triggered by trend analysis, post market surveillance, or other events within the quality system.If information is obtained that was not available for the initial medwatch, a follow-up medwatch, a follow-up medwatch will be filed as appropriate.
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