FDA Adverse Event Injury Summary report: N

PLATE, FIXATION, BONE

MDR report key: 7003541 · Received November 6, 2017

Report

Report Number
2520274-2017-12581
Event Type
Injury
Date Received
November 6, 2017
Date of Event
January 24, 2017
Report Date
October 17, 2017
Product Code
HRS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

I. REPETTO ET AL (2017) SURGICAL MANAGEMENT OF COMPLEX PROXIMAL HUMERAL FRACTURES: PINNING, LOCKED PLATE AND ARTHROPLASTY. MUSCULOSKELETAL SURGERY, VOLUME 101, PAGES 153-158. THIS REPORT IS FOR AN UNKNOWN UNKNOWN PHILOS LOCKED COMPRESSION PLATES (UNKNOWN QUANTITY/UNKNOWN LOT). (OTHER NUMBER) UDI: UNKNOWN PART NUMBER, UDI IS UNAVAILABLE. THE INVESTIGATION COULD NOT BE COMPLETED; NO CONCLUSION COULD BE DRAWN, AS NO DEVICE WAS RETURNED AND NO LOT NUMBER OR PART NUMBER WAS PROVIDED. (B)(4). IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative · 1

CORRECTED DATA. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 1

THIS REPORT IS BEING FILED AFTER THE SUBSEQUENT REVIEW OF THE FOLLOWING LITERATURE ARTICLE: I. REPETTO ET AL (2017) SURGICAL MANAGEMENT OF COMPLEX PROXIMAL HUMERAL FRACTURES: PINNING, LOCKED PLATE AND ARTHROPLASTY. MUSCULOSKELETAL SURGERY, VOLUME 101, PAGES 153-158. THE PURPOSE OF THE ARTICLE WAS TO COMPARE THE CLINICAL RESULTS AND RELATED COMPLICATIONS OF FOUR DIFFERENT SURGICAL TREATMENTS FOR COMPLEX PROXIMAL HUMERAL FRACTURES. BETWEEN 2007 AND 2011, 92 CONSECUTIVE PATIENTS WERE DIAGNOSED FOR COMPLEX HUMERAL FRACTURES OF WHICH 21 PATIENTS HAD THREE-PART FRACTURES, 37 PATIENTS HAD FOUR-PART FRACTURES, 11 PATIENTS HAD HEAD-SPLITTING FRACTURES AND 23 PATIENTS HAD FRACTURE-DISLOCATION. THE MEAN FOLLOW-UP WAS 38.7 ± 17.0 MONTHS (12¿78 MONTHS). ABOUT 22/92 PATIENTS UNDERWENT CLOSED REDUCTION INTERNAL FIXATION (CRIF) USING PINNING TECHNIQUE WITH KIRSCHNER WIRES. A 19/92 PATIENTS UNDERWENT OPEN REDUCTION INTERNAL FIXATION, ORIF USING LOCKED COMPRESSION PLATES, (PHILOS PLATE, DEPUY SYNTHES, (B)(4)). 17/92 PATIENTS UNDERWENT HEMIARTHROPLASTY (HA) USING NEER II PROSTHESIS (3 M, (B)(4)) AND 7/92 PATIENTS UNDERWENT HEMIARTHROPLASTY USING A SMR MODULAR PROSTHESIS USING (LIMALTO, (B)(4)). A 27/92 PATIENTS RECEIVED REVERSE SHOULDER ARTHROPLASTY (RSA) USING CEMENTLESS SMR MODULAR PROSTHESIS (LIMA-LTO, (B)(4)). POSTOPERATIVELY, 7 PATIENTS WITH LOCKED COMPRESSION PLATES, (PHILOS PLATE, DEPUY SYNTHES, (B)(4)) PRESENTED WITH THE FOLLOWING COMPLICATIONS: 4 PATIENTS HAD AVASCULAR NECROSIS, 1 PATIENT HAD TRANSIENT CIRCUMFLEX NERVE PALSY AND 2 PATIENTS HAD PLATE IMPINGEMENT WITH THE ACROMION, 3 PATIENTS REQUIRED REVISION SURGERY (REVERSE SHOULDER ARTHROPLASTY). THIS REPORT IS FOR AN UNKNOWN LOCKED COMPRESSION PLATES, (PHILOS PLATE, DEPUY SYNTHES, (B)(4)). THIS REPORT IS FOR ONE (1) DEVICE. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
783685 PLATE, FIXATION, BONE HRS

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention