FDA Adverse Event Injury Summary report: N

PRO OSTEON IMPLANT 500 HYDROXYAPATITE

MDR report key: 37999 · Received September 9, 1996

Report

Report Number
2029012-1996-00006
Event Type
Injury
Date Received
September 9, 1996
Date of Event
June 20, 1996
Report Date
September 6, 1996
Manufacturer
INTERPORE INTL.
Product Code
LMN
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

A REPORT WAS RECEIVED INVOLVING IMPLANT. HYDROXYAPATITE BONE VOID FILLER BLOCK WAS USED TO REPAIR A SEVERELY COMMINUTED (SCHATZKER TYPE IV) PROXIMAL TIBIAL FRACTURE. THE PT DEVELOPED A NECROTIC WOUND DEHISCENSE APPROX 3 WKS POST-OPERATIVELY. THE DR STATED THAT THE PT'S HEAVY SMOKING HABITS CAUSED THE DEHISCENSE. THE PT RETURNED TO THE HOSP 3 TIMES FOR IRRIGATION AND DEBRIDEMENT. FOLLOWING THE LAST DEBRIDEMENT THE WOUND WAS CLOSED USING A FREE VASCULAR RECTUS GRAFT TRANSFERRED TO THE DEHISCENSE SITE. THE WOUND HEALED BUT CONTINUED TO DRAIN. THE PT WAS PLACED ON A 6 WK I.V. COURSE OF ANTIBIOTICS AND WAS DISCHARGED HOME. THE PT THEN CONTINUED ON ORAL ANTIBIOTICS. ADD'L SURGERY ON 6/20/96, NOTED INFECTION AND BONE NECROSIS. A CULTURE TAKEN AT THE TIME OF SURGERY TESTED POSITIVE FOR PEPTOSTREPTOCOCCUS. THE FILLER, LATERAL PLATE AND SCREWS, AND NECROTIC BONE WERE REMOVED. THE DR STATED THAT ALTHOUGH THE PRESENCE OF PRO OSTEON MAY HAVE EXACERBATED THE INFECTION (I.E. AN AREA WHERE THE INFECTION MIGHT HARBOR), THE SAME OUTCOME WOULD HAVE BEEN REACHED USING AUTOGRAFT THAT ULTIMATELY DID NOT VASCULARIZE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PRO OSTEON IMPLANT 500 HYDROXYAPATITE Implant BONE VOID FILLER LMN INTERPORE INTL. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 52 YR Required Intervention