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Official Journal of the Italian Society of Orthopaedics and Traumatology

Table 1 Reported failures of the set/screw locking mechanism of TFNa in the FDA’s MAUDE database from 2015 to 2019, and the mechanism of failure in the observed cases of set screw fracture

From: Bent or broken: analysis of set screw fracture in the TFNa implant

 

Reported failures

Total reported set screw failures in the MAUDE database

67

 Reported failures with helical blade insertion

48

 Reported failures with lag screw insertion

19

 Failure to lock helical blade/lag screw after fully deployed

13

 Lock prong obstructed helical blade/lag screw insertion

11

 Fractured lock prong remained as retained foreign body

3

 Damage to locking mechanism associated with non-union

9

 Uncontrolled collapse and early loss of reduction

8

 Medial migration of the helical blade/lag screw

8

 Damage to locking mechanism associated with cut out

4

Total observed cases of fractured lock prong

4

 Medial migration of lag screw

1

 Early loss of reduction, uncontrolled collapse

1

 Fractured during removal resulting in retained foreign body

1

 Non-union

1