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LEGION 71423358Recalls & reported problems

Smith & Nephew, Inc. · LEGION HINGE GUIDED MOTION TIBIAL INSERT 18MM SIZE 4-5 LEFT · Class 2 · Implant

All models of LEGION (446)

Data updated Oct 16, 2026 from official FDA records · Editorial policy

Adverse event reports
7
Deaths reported
0
Injuries reported
7
Recalls naming it
0

Summary

The FDA's MAUDE database contains 7 adverse event reports that list this exact device (DI 00885556030813), received between Dec 10, 2019 and Jan 26, 2024 — classified as 7 injuries.

The most frequently reported specific device problem is “Break” (1 report).

7 other recalls cover devices cleared under the same FDA submission (K081111); 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 16, 2026.

Reports received per month

Nov 2023: 0 reportsDec 2023: 0 reportsJan 2024: 2 reportsFeb 2024: 0 reportsMar 2024: 0 reportsApr 2024: 0 reportsMay 2024: 0 reportsJun 2024: 0 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: 0 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 reports2024202520262
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Adverse Event Without Identified Device or Use Problem4
  • Break1
  • Improper or Incorrect Procedure or Method1
  • Insufficient Device Problem Information1
  • Labelling, Instructions for Use or Training Problem1
  • Unstable1
  • Use of Device Problem1

Patient problems

  • Injury2
  • Joint Laxity2
  • No Clinical Signs, Symptoms or Conditions2
  • Failure of Implant1
  • Pain1
  • Unspecified Infection1

Recent adverse event reports

The 7 most recent of 7 reports, in the reporter's own words as published by the FDA.

  • InjuryJan 26, 2024Use of Device Problem; Adverse Event Without Identified Device or Use Problem; Use of Device Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT, AFTER A LEFT TKA REVISION SURGERY WAS PERFORMED ON (B)(6) 2023, THE LEGION HINGE CONSTRUCT BECAME UNSTABLE AFTER A FEW MONTHS OF BEING IMPLANTED. SURGEON SUSPECTS THAT THE LEGION HK GD MOTION ISRT 18MM SZ 4-5 LT WAS UNDERSIZED AND POSITIONED LOOSE, AS THE THICKNESS OF THE POLY WAS UPSIZED DURING THE SECOND REVISION PERFORMED ON (B)(6) 2023 AND THE CONSTRUCT WAS VERY STABLE AFTER IMPLANTATION. PATIENT IS DOING WELL WITH THE REVISED IMPLANTS.

    Patient problems: Joint Laxity

    MAUDE report 18591346 ↗
  • InjuryJan 26, 2024Unstable; Unstable

    IT WAS REPORTED THAT, AFTER A LEFT TKA HAD BEEN PERFORMED ON AN UNKNOWN DATE, THE PATIENT EXPERIENCED UNSTABLE INTERNAL HINGE COMPONENTS DUE TO A LARGE VARUS/VALGUS THRUST. A FIRST REVISION SURGERY WAS PERFORMED ON (B)(6) 2023 TO ADDRESS THIS ADVERSE EVENT, IN WHICH ONE (1) LEGION HK GD MOTION ISRT 18MM SZ 4-5 LT, ONE (1) LEGION HK 18MM BOLT ¿ SLEEVE, ONE (1) LGN HK AXLE SZ 5 FEMUR, ONE (1) LGN HK LINK ASSY SZ 2-5 FEM, ONE (1) LEGION HINGE AXLE PLUG AND ONE (1) LEGION HINGE HYPEREXTENSION STOP WITH AXLE PLUGS WERE EXPLANTED.

    Patient problems: Joint Laxity

    MAUDE report 18591186 ↗
  • InjurySep 12, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT, AFTER TKA SURGERY, A LEGION HK GD MOTION ISRT 18MM SZ 4-5 LT SWAP OF A HINGE KNEE IN WHICH WAS SOME PAIN AND INFECTION PRESENT. UPON VISUAL OF X-RAY, IT WAS NOTICED THAT THE LEGION PATELLA HAD SHEARED OFF AT THE PEGS, AND THE SET SCREW WAS NOT THREADED INTO THE BASEPLATE, IT WAS ¿FLOATING¿ IN THE POLY AS THOUGH IT HAD NOT BEEN SCREWED INTO THE BASEPLATE. THIS ADVERSE EVENT WAS SOLVED BY REVISION SURGERY ON (B)(6) 2023, IN WHICH FEMUR WAS OPENED UP, POLY REPLACED WITH A 13MM, AND THE PATELLA TRACKED WELL AND AS SUCH WAS NOT REPLACED. CURRENT HEALTH STATUS OF PATIENT IS DOING WELL POST-OPERATIVE.

    Patient problems: Failure of Implant; Pain; Unspecified Infection

    MAUDE report 17730537 ↗
  • InjuryAug 23, 2022Labelling, Instructions for Use or Training Problem; Improper or Incorrect Procedure or Method; Labelling, Instructions for Use or Training Problem; Improper or Incorrect Procedure or Method

    IT WAS REPORTED THAT AFTER A RIGHT TKA SURGERY PERFORMED ON (B)(6) 2022 IT WAS NOTICED THAT THE WRONG SIDED INSERT HAD BEEN IMPLANTED IN TO THE PATIENT (LEGION HK GD MOTION ISRT 18MM SZ 4-5 LT). THE SURGEON WAS INFORMED IMMEDIATELY. A REVISION SURGERY WAS MADE ON (B)(6) TO CORRECT THIS ISSUE. DURING THE INITIAL SURGERY ALL IMPLANTS WERE PRESENTED TO THE SURGEON AND THE SCRUB NURSE FOR APPROVAL. THE PATIENT CURRENT HEALTH STATUS IS UNKNOWN.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 15274584 ↗
  • InjuryApr 9, 2022Break; Break

    IT WAS REPORTED THAT, DURING A TKA SURGERY, WHEN LOCKING THE LEGION HK GD MOTION ISRT 18MM SZ 4-5 LT ON THE POSTERIOR, SCREW BROKE IN HALF AND THE BOTTOM HALF GOT STUCK IN THE BASEPLATE. SURGERY WAS FINISHED, AFTER A DELAY OF 30 MINUTES OR LESS AND WITH A CHANGE IN THE SURGICAL TECHNIQUE. NO HARM TO THE PATIENT OR FURTHER COMPLICATIONS REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 14068479 ↗
  • InjuryDec 10, 2019Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT THE PATIENT HAD RUPTURE OF LEFT QUAD TENDON POSTOPERATIVE. AN UNSPECIFIED SURGERY WAS PERFORMED TO REMEDIATE IT.

    Patient problems: Injury

    MAUDE report 9448923 ↗
  • InjuryDec 10, 2019Adverse Event Without Identified Device or Use Problem; Insufficient Device Problem Information; Adverse Event Without Identified Device or Use Problem; Insufficient Device Problem Information

    IT WAS REPORTED THAT EXTENSOR MECHANISM RECONSTRUCTION SURGERY WAS PERFORMED POSTOPERATIVE.

    Patient problems: Injury

    MAUDE report 9445504 ↗

Recalls under the same FDA submission

These recalls involve devices cleared under K081111. One submission often covers many models, so check the product and lot details in each record.

  • Z-1105-2018 · Feb 1, 2018 · Terminated
    smith&nephew, LEGION HK FEMORAL WEDGE (WEDGE AND SCREW), 5 MM, SIZE 5, REF 71422159, QTY: (1), STERILE The Revision Knee System Components are indicated for rheumatoid arthritis;
  • Z-2092-2016 · May 26, 2016 · Terminated
    LEGION(TM) HK FEMORAL ASSEMBLY, SIZE 4 LEFT, A/P 58.5 MM, M/L 66 MM, REF 71421374 The LEGION Hinge Knee System is indicated for: 1. Rheumatoid arthritis. 2. Post-traumatic arthrit
  • Z-2093-2016 · May 26, 2016 · Terminated
    LEGION(TM) HK FEMORAL ASSEMBLY, SIZE 4 RIGHT, A/P 58.5 MM, M/L 66 MM, REF 71421364 The LEGION Hinge Knee System is indicated for: 1. Rheumatoid arthritis. 2. Post-traumatic arthri
  • Z-2095-2016 · May 26, 2016 · Terminated
    LEGION(TM) HK FEMORAL ASSEMBLY, SIZE 5 RIGHT, A/P 62 MM, M/L 70 MM, REF 71421365 The LEGION Hinge Knee System is indicated for: 1. Rheumatoid arthritis. 2. Post-traumatic arthriti
  • Z-2094-2016 · May 26, 2016 · Terminated
    LEGION(TM) HK FEMORAL ASSEMBLY, SIZE 5 LEFT, A/P 62 MM, M/L 70 MM, REF 71421375 The LEGION Hinge Knee System is indicated for: 1. Rheumatoid arthritis. 2. Post-traumatic arthritis
  • Z-2091-2016 · May 26, 2016 · Terminated
    LEGION(TM) HK FEMORAL ASSEMBLY, SIZE 3 RIGHT, A/P 54.5 MM, M/L 62 MM, REF 71421363 The LEGION Hinge Knee System is indicated for: 1. Rheumatoid arthritis. 2. Post-traumatic arthri
  • Z-2090-2016 · May 26, 2016 · Terminated
    LEGION(TM) HK FEMORAL ASSEMBLY, SIZE 3 LEFT, A/P 54.5 MM, M/L 62 MM, REF 71421373 The LEGION Hinge Knee System is indicated for: 1. Rheumatoid arthritis. 2. Post-traumatic arthrit

Other PROSTHESIS, KNEE, FEMOROTIBIAL, CONSTRAINED, CEMENTED, METAL/POLYMER devices

All PROSTHESIS, KNEE, FEMOROTIBIAL, CONSTRAINED, CEMENTED, METAL/POLYMER devices →

Sources and updates

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