LT TOTAL KNEE PROSTHESIS
Received Apr 30, 2002 · Event occurred Feb 27, 2002
Report 391025 · MDR key 391025
Device
Product problems
- Explanted
- Loose
- Migration or Expulsion of Device
- Replace
Patient
62 YR
- Pain
- Surgical procedure, repeated
- Other (for use when an appropriate patient code cannot be identified)
- Arthralgia
- Ambulation or Postural Difficulties
- Treatment with medication(s)
- Hospitalization required
Narrative
Description of Event or Problem
PT ADMITTED WITH DIAGNOSIS OF LOOSE LT TOTAL KNEE PROSTHESIS. THE PT HAD A LONG COMPLEX PROBLEM INVOLVING THEIR KNEES. IN 1982 PT UNDERWENT LT TOTAL KNEE ARTHROPLASTY, AFTERWARD SUFFERED PERSISTENT STAPH INFECTION. IN 1992, PT UNDERWENT REVISION THEN AFTER DEVELOPED SERRATIA OF MARCESCENS, REQUIRED REMOVAL OF PROSTHESIS IN 1998 AND 8-10 WKS IF ANTIBIOTICS. FIVE MONTHS LATER PT UNDERWENT REVISION WITH A THIN ROTATING HINGE PROSTHESIS. THE PT DID INITIALLY WELL BUT STARTED TO HAVE MORE PAIN AND INSTABILITY. PT'S PAIN WAS LOCATED IN THE REGION OF THE THIGH REQUIRING A WALKER TO AMBULATE. IN 2002, PT UNDERWENT REVISION OF LT KNEE REPLACEMENT. INTRA-OPERATIVE PER SURGEON NOTED FEMORAL COMPONENT TO HAVE ROTATION BETWEEN THE END OF THE FEMUR.