LEGION 71421234Recalls & reported problems
Smith & Nephew, Inc. · LEGION CRUCIATE RETAINING OXINIUM FEMORAL SIZE 4 LEFT · Class 2 · Implant
All models of LEGION (446)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 9
- Deaths reported
- 0
- Injuries reported
- 9
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 9 adverse event reports that list this exact device (DI 00885556030912), received between Sep 5, 2018 and Jan 7, 2025 — classified as 9 injuries.
The most frequently reported specific device problem is “Loose or Intermittent Connection” (3 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
Most reported problems
Device problems
- Loose or Intermittent Connection3
- Adverse Event Without Identified Device or Use Problem2
- Unstable2
- Improper or Incorrect Procedure or Method1
- Mechanical Problem1
- Osseointegration Problem1
Patient problems
- Injury4
- No Information2
- Aseptic loosening1
- Failure of Implant1
- Pain1
- Unspecified Infection1
Recent adverse event reports
The 9 most recent of 9 reports, in the reporter's own words as published by the FDA.
InjuryJan 7, 2025Osseointegration Problem; Osseointegration Problem
IT WAS REPORTED THAT, AFTER TKA SURGERY HAD BEEN PERFORMED ON UNKNOWN DATE, THE PATIENT HAD A LOOSE FEMORAL COMPONENT. THIS ADVERSE EVENT WAS TREATED BY A REVISION SURGERY ON (B)(6) 2024, IN WHICH THE LEGION CR OXIN FEM SZ4 LT WAS EXCHANGED TO A STEMMED CONSTRAINED FEMORAL OF THE SAME SIZE WITH A 10MM MEDIAL AUGMENT. CURRENT HEALTH STATUS OF PATIENT IS WELL. NO FURTHER COMPLICATIONS WERE REPORTED.
Patient problems: Aseptic loosening
MAUDE report 21095220 ↗InjuryFeb 15, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT, AFTER A TKA REVISION SURGERY WAS PERFORMED DUE TO INFECTION ON (B)(6) 2023, THE INFECTION DID NOT CALM DOWN. THIS ADVERSE EVENT WAS SOLVED WITH A 2ND REVISION SURGERY PERFORMED ON (B)(6) 2023, IN WHICH ALL IMPLANTS (GII DISHED INS SZ 3-4 11MM, LEGION CR OXIN FEM SZ4 LT, GNS II CMT TIB SIZE 4 LEFT AND GNS II RESURF PAT 26MM), WERE REMOVED AND CEMENT MOLD WAS IMPLANTED. HEALTH STATUS OF PATIENT IS UNKNOWN.
Patient problems: Unspecified Infection
MAUDE report 16383376 ↗InjuryJul 15, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT, AFTER TKA SURGERY HAD BEEN PERFORMED ON UNKNOWN DATE, THE PATIENT HAD A REVISION SURGERY ON (B)(6) 2021 BECAUSE THE FEMUR WAS PLACED IN AN INCORRECT VALGUS OF +12 DEGREES. THE CURRENT HEALTH STATUS OF THE PATIENT IS UNKNOWN.
Patient problems: Failure of Implant
MAUDE report 12173276 ↗InjuryJun 27, 2019Improper or Incorrect Procedure or Method; Improper or Incorrect Procedure or Method
IT WAS REPORTED THAT A LEFT TIBIAL BASEPLATE AND LEFT FEMORAL COMPONENT WERE IMPLANTED IN THE PATIENT'S RIGHT KNEE. THIS WAS NOTICED IN POST-OP XRAY. PATIENT ELECTED NOT TO GO BACK TO SURGERY.
Patient problems: Injury
MAUDE report 8742141 ↗InjuryMar 6, 2019Loose or Intermittent Connection; Loose or Intermittent Connection
LEGION PRIMARY WITH VERILAST, (B)(4); TKR LOOSENING SUSPICION. IT WAS REPORTED THAT A YEAR AFTER TKR IT IS SUSPECTED THAT PATIENT HAS LOOSE COMPONENTS AND A REVISION SURGERY WAS PERFORMED.
Patient problems: Injury
MAUDE report 8394791 ↗InjuryOct 3, 2018Loose or Intermittent Connection; Loose or Intermittent Connection
IT WAS REPORTED THAT A MEDICAL INTERVENTION WAS PERFORMED. MEDIAL PATELLOFEMORAL LIGAMENT RECONSTRUCTION WITH SEMITENDINOSUS ALLOGRAFT LEFT KNEE AND APPLICATION OF LONG LEG IMMOBILIZER. NO IMPLANTS REMOVED.
Patient problems: No Information
MAUDE report 7930856 ↗InjuryOct 3, 2018Unstable; Unstable
IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED.
Patient problems: Injury; Pain
MAUDE report 7930692 ↗InjuryOct 2, 2018Mechanical Problem; Unstable; Mechanical Problem; Unstable
InjurySep 5, 2018Loose or Intermittent Connection; Loose or Intermittent Connection
IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED DUE TO LOOSENING. THE BASEPLATE, THE INSERT AND THE FEMORAL COMPONENT WERE EXPLANTED.
Patient problems: No Information
MAUDE report 7846726 ↗
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-0278-2025 · Oct 2, 2024 · Open, Classifiedsmith&nephew LEIGON OXINIUM CONSTRAINED NONPOROUS FEMORAL COMPONENT, SIZE 4 LEFT, REF 71421164; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POL
- Z-0277-2025 · Oct 2, 2024 · Open, Classifiedsmith&nephew LEIGON OXINIUM CONSTRAINED NONPOROUS FEMORAL COMPONENT, SIZE 3 LEFT, REF 71421163; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POL
- Z-2621-2023 · Aug 31, 2023 · Open, Classifiedsmith&nephew LEGION OXINUM POSTERIOR STABILIZED NONPOROUS FERMOAL COMPONENT, SIZE 5N, LEFT, NARROW, REF 71421265; knee joint
- Z-1951-2021 · May 19, 2021 · TerminatedLEGION 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 · CompletedLEGION(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 · TerminatedLEGION(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 · TerminatedLEGION 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 · TerminatedLEGION 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
- ATTUNE 1506-00-005Depuy (Ireland) · PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER589 reports
- ATTUNE 1506-00-004Depuy (Ireland) · PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER580 reports
- JOURNEY 74012812Smith & Nephew, Inc. · PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER502 reports
- JOURNEY 74011856Smith & Nephew, Inc. · PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER438 reports
- PERSONA™ 42-5099-094-00Zimmer, Inc. · PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER406 reports
- JOURNEY 74011857Smith & Nephew, Inc. · PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER388 reports
- ATTUNE 1506-00-007Depuy (Ireland) · PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER288 reports
- ATTUNE 1506-00-003Depuy (Ireland) · PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL/POLYMER271 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 18, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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