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LEGION 71421204Recalls & reported problems

Smith & Nephew, Inc. · LEGION POSTERIOR STABILIZED OXINIUM FEMORAL SIZE 4 RIGHT · Class 2 · Implant

All models of LEGION (446)

Data updated Oct 18, 2026 from official FDA records · Editorial policy

Adverse event reports
4
Deaths reported
0
Injuries reported
4
Recalls naming it
0

Summary

The FDA's MAUDE database contains 4 adverse event reports that list this exact device (DI 00885556030332), received between Oct 9, 2023 and Aug 20, 2025 — classified as 4 injuries.

The most frequently reported specific device problem is “Biocompatibility” (2 reports).

8 other recalls cover devices cleared under the same FDA submission (K043440, K093746, K230653); they may or may not involve this specific model.

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 18, 2026.

Reports received per month

Nov 2023: 0 reportsDec 2023: 0 reportsJan 2024: 0 reportsFeb 2024: 0 reportsMar 2024: 0 reportsApr 2024: 0 reportsMay 2024: 1 reportsJun 2024: 1 reportsJul 2024: 0 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 0 reportsNov 2024: 0 reportsDec 2024: 0 reportsJan 2025: 0 reportsFeb 2025: 0 reportsMar 2025: 0 reportsApr 2025: 0 reportsMay 2025: 0 reportsJun 2025: 0 reportsJul 2025: 0 reportsAug 2025: 1 reportsSep 2025: 0 reportsOct 2025: 0 reportsNov 2025: 0 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 0 reportsMar 2026: 0 reportsApr 2026: 0 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520261
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Biocompatibility2
  • Adverse Event Without Identified Device or Use Problem1
  • Degraded1
  • Loosening of Implant Not Related to Bone-Ingrowth1

Patient problems

  • Arthralgia2
  • Discomfort1
  • Eczema1
  • Hypersensitivity/Allergic reaction1
  • Implant Pain1
  • Joint Laxity1
  • Metal Related Pathology1

Recent adverse event reports

The 4 most recent of 4 reports, in the reporter's own words as published by the FDA.

  • InjuryAug 20, 2025Degraded; Biocompatibility; Degraded; Biocompatibility

    IT WAS REPORTED THAT, AFTER TKA SURGERY/TREATMENT HAD BEEN PERFORMED ON (B)(6) 2018, IT WAS FOUND THAT THERE WAS A METAL FRAGMENT ON THE INSERT, AND WEAR OF THE FEMORAL COMPONENT OCCURRED DUE TO FRICTION WITH THE METAL FRAGMENT, WHICH CAUSED METALLOSIS. THIS ADVERSE EVENT WILL BE SOLVED BY A REVISION SURGERY ON (B)(6) 2025. THE CURRENT HEALTH STATUS OF THE PATIENT IS UNKNOWN.

    Patient problems: Metal Related Pathology

    MAUDE report 22850524 ↗
  • InjuryJun 21, 2024Biocompatibility; Biocompatibility

    IT WAS REPORTED THAT, AFTER A RIGHT TKA SURGERY HAD BEEN PERFORMED ON (B)(6) 2023, A PATIENT HAS BEEN EXPERIENCING ADVERSE REACTIONS WITH THE OXINIUM IMPLANTS, REPORTING ECZEMA AND ALLERGY-LIKE SYMPTOM. THE PATIENT CLAIMS TO HAVE PAIN AND DISCOMFORT. ALL INVESTIGATIONS-MR, INFECTION MARKERS, CT SCANS FOR MALROTATION ARE CLEAR. THE IGE IS RAISED AS MARKER FOR ALLERGIES. NEVERTHELESS, THE PATIENT CONTINUES TO EXPERIENCE INFLAMMATION AND SEVERE DISCOMFORT EVEN AFTER TREATMENT WITH NSAIDS, ANTI-INFLAMMATORIES, AND A SHORT COURSE OF STEROIDS. HEALTHWISE, PATIENT'S CURRENT HEALTH STATUS IS OK. SURGEON IS POTENTIALLY CONSIDERING REVISION OF THE OXINIUM IMPLANTS.

    Patient problems: Discomfort; Eczema; Hypersensitivity/Allergic reaction; Implant Pain

    MAUDE report 19590039 ↗
  • InjuryMay 14, 2024Loosening of Implant Not Related to Bone-Ingrowth; Loosening of Implant Not Related to Bone-Ingrowth

    IT WAS REPORTED THAT, AFTER RIGHT TKA SURGERY HAD BEEN PERFORMED ON UNKNOWN DATE, THE PATIENT EXPERIENCED KNEE PAIN AND SUSPECTED IMPLANT LOOSENING. THIS ADVERSE EVENT WAS SOLVED BY CONDUCTING A REVISION SURGERY ON (B)(6) 2024, IN WHICH THE LEGION PS OXIN FEM SZ4 RT, THE GNS II CMT TIB SIZE 3 RIGHT, AND THE LGN XLPE PS INSERT SZ 3-4 9MM WERE EXPLANTED. PATIENT'S CURRENT HEALTH STATUS IS UNKNOWN.

    Patient problems: Arthralgia; Joint Laxity

    MAUDE report 19313063 ↗
  • InjuryOct 9, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT, AFTER A THR SURGERY HAD BEEN PERFORMED ON AN UNKNOWN DATE, THE PATIENT EXPERIENCED PAIN. THIS ADVERSE EVENT WAS TREATED BY A REVISION SURGERY ON AN UNKNOWN DATE. PATIENT IS CURRENTLY RECOVERING.

    Patient problems: Arthralgia

    MAUDE report 17895515 ↗

Recalls under the same FDA submission

These recalls involve devices cleared under K043440, K093746, K230653. One submission often covers many models, so check the product and lot details in each record.

  • Z-0277-2025 · Oct 2, 2024 · Open, Classified
    smith&nephew LEIGON OXINIUM CONSTRAINED NONPOROUS FEMORAL COMPONENT, SIZE 3 LEFT, REF 71421163; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POL
  • Z-0278-2025 · Oct 2, 2024 · Open, Classified
    smith&nephew LEIGON OXINIUM CONSTRAINED NONPOROUS FEMORAL COMPONENT, SIZE 4 LEFT, REF 71421164; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POL
  • Z-2621-2023 · Aug 31, 2023 · Open, Classified
    smith&nephew LEGION OXINUM POSTERIOR STABILIZED NONPOROUS FERMOAL COMPONENT, SIZE 5N, LEFT, NARROW, REF 71421265; knee joint
  • Z-1951-2021 · May 19, 2021 · Terminated
    LEGION Posterior Stabilized OXINIUM Femoral Component, REF 71421216, Size 6, Left, Nonporous Femoral Component, A/P 65.5 MM, M/L 73 MM, For Cemented Use Only, ZR-2.5NB,Sterile. Kn
  • Z-2538-2019 · Jan 15, 2018 · Completed
    LEGION(TM) HEMI STEP TIBIAL WEDGE RK/HK, 5 MM, SIZE 3-4 LT.MDL/RT-LAT, REF 71423432 Product Usage: The constrained knee systems are designed for use in patients in primary and
  • Z-0816-2016 · Jan 18, 2016 · Terminated
    LEGION(TM) HEMI STEPPED, TIBIAL SCREW-ON WEDGE, REF 71421147, QTY 1, 5 MM, SIZE 5-6 LT-LAT / RT-MDL; Tibial knee prosthesis, augment.
  • Z-1820-2009 · Jan 22, 2009 · Terminated
    LEGION Pressfit Stem, Straight, 20 MM X 160 MM, REF 71424053, Sterile, Smith & Nephew, Memphis TX 38116. The device is used for Orthopedic Knee Implants.
  • Z-1819-2009 · Jan 22, 2009 · Terminated
    LEGION Pressfit Stem, Straight, 10 MM X 160 MM, REF 71424043, Sterile, Smith & Nephew, Memphis TX 38116. The device is used for Orthopedic Knee Implants.

Other PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER devices

All PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER devices →

Sources and updates

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