LEGION 71421377Recalls & reported problems
Smith & Nephew, Inc. · LEGION HINGE FEMORAL ASSEMBLY SIZE 7 LEFT · Class 2 · Implant
All models of LEGION (446)
Data updated Oct 16, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 13
- Deaths reported
- 0
- Injuries reported
- 12
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 13 adverse event reports that list this exact device (DI 00885556414880), received between May 29, 2019 and Nov 27, 2024 — classified as 12 injuries, 1 malfunction.
The most frequently reported specific device problem is “Break” (2 reports).
8 other recalls cover devices cleared under the same FDA submission (K081111, 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 16, 2026.
Reports received per month
Most reported problems
Device problems
- Adverse Event Without Identified Device or Use Problem6
- Break2
- Insufficient Device Problem Information2
- Defective Component1
- Device Dislodged or Dislocated1
- Difficult to Insert1
- Fracture1
- Loose or Intermittent Connection1
Patient problems
- Failure of Implant2
- Fall2
- Injury2
- Insufficient Information2
- Anemia1
- Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available1
- Bacterial Infection1
- Bone Fracture(s)1
Recent adverse event reports
The 13 most recent of 13 reports, in the reporter's own words as published by the FDA.
InjuryNov 27, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT PATIENT UNDERWENT A PRIMARY TKA LEFT SURGERY IN 2020 DUE TO UNSPECIFIED REASONS. DURING THE SURGERY, LEGION/GII SMITH & NEPHEW COMPONENT(S) WERE IMPLANTED. 4.13 YEARS AFTER THIS PROCEDURE, THE PATIENT SUSTAINED A PATELLA MALTRACKING OR INSTABILITY THAT REQUIRED A TKA REVISION. IT IS UNKNOWN WHICH DEVICES WERE EXPLANTED/EXCHANGED DURING THIS PROCEDURE. THIS INFORMATION WAS COLLECTED RETROSPECTIVELY AS PART OF A POST-MARKET CLINICAL FOLLOW UP ACTIVITY AND IS PROVIDED IN AN ANONYMIZED FORMAT; THEREFORE, NO FURTHER INFORMATION AVAILABLE.
Patient problems: Joint Laxity
MAUDE report 20791052 ↗InjuryNov 20, 2024Insufficient Device Problem Information; Insufficient Device Problem Information
IT WAS REPORTED THAT PATIENT UNDERWENT A TKA LEFT SURGERY IN 2017 DUE TO DEGENERATIVE ARTHRITIS. DURING THE SURGERY, LEGION/GII SMITH & NEPHEW COMPONENT(S) WERE IMPLANTED. 0.05 YEARS AFTER THIS PROCEDURE, THE PATIENT SUSTAINED AN UNSPECIFIED ADVERSE EVENT THAT REQUIRED A TKA REVISION. IT IS UNKNOWN WHICH DEVICES WERE EXPLANTED/EXCHANGED DURING THIS PROCEDURE. THIS INFORMATION WAS COLLECTED RETROSPECTIVELY AS PART OF A POST-MARKET CLINICAL FOLLOW UP ACTIVITY AND IS PROVIDED IN AN ANONYMIZED FORMAT; THEREFORE, NO FURTHER INFORMATION AVAILABLE.
Patient problems: Insufficient Information
MAUDE report 20736134 ↗InjuryOct 25, 2024Insufficient Device Problem Information; Insufficient Device Problem Information
IT WAS REPORTED THAT PATIENT UNDERWENT A TKA LEFT REVISION SURGERY IN 2014 DUE TO INSTABILITY. DURING THE REVISION SURGERY, LEGION/GII SMITH & NEPHEW COMPONENT(S) WERE IMPLANTED. 0,12 YEARS AFTER THIS PROCEDURE, THE PATIENT SUSTAINED AN UNSPECIFIED ADVERSE EVENT THAT REQUIRED A TKA RE-REVISION. IT IS UNKNOWN WHICH DEVICES WERE EXPLANTED/EXCHANGED DURING THIS PROCEDURE. THIS INFORMATION WAS COLLECTED RETROSPECTIVELY AS PART OF A POST-MARKET CLINICAL FOLLOW UP ACTIVITY AND IS PROVIDED IN AN ANONYMIZED FORMAT; THEREFORE, NO FURTHER INFORMATION AVAILABLE.
Patient problems: Insufficient Information
MAUDE report 20536414 ↗InjuryJun 4, 2024Device Dislodged or Dislocated; Adverse Event Without Identified Device or Use Problem; Device Dislodged or Dislocated; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT PATIENT UNDERWENT A TKA LEFT REVISION SURGERY IN 2018 DUE TO DEGENERATIVE ARTHRITIS. DURING THE REVISION SURGERY, LEGION/GII SMITH & NEPHEW COMPONENT(S) WERE IMPLANTED. 4,02 YEARS AFTER THIS PROCEDURE, THE PATIENT SUFFERED FROM IMPLANT DISSOCIATION AND REQUIRED A RE-REVISION. IT IS UNKNOWN WHICH DEVICES WERE EXPLANTED/EXCHANGED DURING THIS PROCEDURE. THIS INFORMATION WAS COLLECTED RETROSPECTIVELY AS PART OF A POST-MARKET CLINICAL FOLLOW UP ACTIVITY AND IS PROVIDED IN AN ANONYMIZED FORMAT; THEREFORE, NO FURTHER INFORMATION AVAILABLE.
Patient problems: Joint Dislocation
MAUDE report 19459163 ↗InjuryNov 3, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT, AFTER UNDERGOING A TKA ON (B)(6) 2018, THE PATIENT SUFFERED A FRACTURED DISTAL FEMUR UPON FALLING OUT OF BED. IN RESPONSE TO THIS ADVERSE EVENT, A REVISION SURGERY WAS PERFORMED ON (B)(6) 2023 IN WHICH ALL COMPONENTS WERE EXCHANGED. PATIENT'S CURRENT HEALTH STATUS IS UNKNOWN.
Patient problems: Bone Fracture(s); Fall
MAUDE report 18066148 ↗InjuryJul 7, 2023Fracture; Fracture
IT WAS REPORTED THAT, AFTER A TKA SURGERY HAD BEEN PERFORMED ON (B)(6) 2020, THE LGN HK FEM ASSEMBLY SZ 7 LT BROKE AND THE SCREW OF THE LEGION HK GD MOTION ISRT 13MM SZ 6-7 LT LOOSENED. THIS WAS TREATED BY A REVISION SURGERY ON 19-JUN-2023, IN WHICH THE LGN HK FEM ASSEMBLY SZ 7 LT AND THE LEGION HK GD MOTION ISRT 13MM SZ 6-7 LT WERE EXPLANTED. CURRENT HEALTH STATUS OF PATIENT IS GOOD.
Patient problems: Failure of Implant
MAUDE report 17278244 ↗MalfunctionMay 5, 2022Difficult to Insert; Defective Component; Difficult to Insert; Defective Component
IT WAS REPORTED THAT, DURING A TKA SURGERY, THE LGN HK FEM ASSEMBLY SZ 7 LT WOULD NOT ALLOW THE LEGION HK SLEEVE TO BE INSERTED INTO THEM. HOWEVER, THEY MANAGED TO PASS THE SLEEVE THROUGH THE LINK ASSEMBLY BY LIGHTLY IMPACTING IT. SURGERY WAS RESUMED, WITH A DELAY OF GREATER THAN 30 MINUTES, WITH THE SAME DEVICE. PATIENT WAS NOT HARMED. NO FURTHER COMPLICATIONS REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 14292306 ↗InjuryJan 25, 2022Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT AFTER THE PATIENT UNDERWENT A 2-STAGE REVISION SURGERY TO ADDRESS A DEEP INFECTION, THE PATIENT SUFFERED FROM POST-OPERATIVE BLEEDING ANEMIA. THE ADVERSE EVENT WAS TREATED WITH TRANSFUSION OF 2 ERYTHROCYTE CONCENTRATES WITH NO FURTHER COMPLICATIONS.
Patient problems: Anemia
MAUDE report 13343730 ↗InjuryJan 25, 2022Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT AFTER A REVISION SURGERY FOR A PERIPROSTHETIC SPIRAL FRACTURE OF THE FEMUR WAS PERFORMED IN (B)(6) 2021 (COVERED UNDER (B)(4)), A STRAIN OF E. COLI AND S. HAEMOLYTICUS WAS DETECTED IN THE PATIENT IN (B)(6) 2021. THE ISSUE REQUIRED ANTIBIOTIC THERAPY. THE OUTCOME OF THE PATIENT IS UNKNOWN.
Patient problems: Bacterial Infection
MAUDE report 13343657 ↗InjuryOct 28, 2021Break; Break
IT WAS REPORTED THAT, AFTER A TKA SURGERY HAD BEEN PERFORMED ON (B)(6) 2020, THE PATIENT FELL AND THE LINK MECHANISM OF A LGN HK FEM ASSEMBLY SZ 7 LT BROKE. THIS ADVERSE EVENT WAS SOLVED BY A REVISION SURGERY ON (B)(6) 2021, IN WHICH THE LGN HK FEM ASSEMBLY SZ 7 LT WAS EXPLANTED AND REPLACED. CURRENT HEALTH STATUS OF PATIENT IS UNKNOWN.
Patient problems: Failure of Implant; Fall
MAUDE report 12708953 ↗InjuryMay 4, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT, AFTER A LEGION IMPLANT ON THE LEFT SIDE ON (B)(6) 2019, THE PATIENT THE PATIENT STARTED EXPERIENCING A HAEMARTHROSIS OF THE KNEE ON (B)(6) 2019; RIVAROXABAN RESTARTED WHEN SWELLING STARTED. CLEXANE WAS GIVEN, AND ANTIBIOTICS /APIXABAN WITHHELD. THIS ADVERSE EVENT HAS NOT BEEN TREATED AND IS, THEREFORE, ONGOING.
Patient problems: Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available; Hemorrhage/Blood Loss/Bleeding
MAUDE report 11773604 ↗InjuryOct 22, 2020Loose or Intermittent Connection; Loose or Intermittent Connection
IT WAS REPORTED THAT ONE YEAR AFTER IMPLANTATION IT WAS FOUND THAT THE CONNECTION SCREW 15MM WAS LOOSE. BOLD INSERT AND AXIS FROM THE FEMUR SIZE 7 WERE REPLACED.
Patient problems: Injury
MAUDE report 10722871 ↗InjuryMay 29, 2019Break; Break
IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED ON THE PATIENT DUE TO SET SCREW BACKED OUT OF THE POLY. THERE WAS A SIGNIFICANT DEFECT ON MEDIAL ASPECT OF FEMUR SO THE DECISION WAS MADE TO CHANGE THE FEMUR. NO PROCEDURE DETAILS REPORTED.
Patient problems: Injury
MAUDE report 8651801 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K081111, K230653. One submission often covers many models, so check the product and lot details in each record.
- 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-1105-2018 · Feb 1, 2018 · Terminatedsmith&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-2090-2016 · May 26, 2016 · TerminatedLEGION(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
- Z-2095-2016 · May 26, 2016 · TerminatedLEGION(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-2092-2016 · May 26, 2016 · TerminatedLEGION(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-2091-2016 · May 26, 2016 · TerminatedLEGION(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-2093-2016 · May 26, 2016 · TerminatedLEGION(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-2094-2016 · May 26, 2016 · TerminatedLEGION(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
Other PROSTHESIS, KNEE, FEMOROTIBIAL, CONSTRAINED, CEMENTED, METAL/POLYMER devices
- ELEOS™ 25001208EOnkos Surgical, Inc. · PROSTHESIS, KNEE, FEMOROTIBIAL, CONSTRAINED, CEMENTED, METAL/POLYMER3 deaths193 reports
- ELEOS™ THSMWRS01MOnkos Surgical, Inc. · PROSTHESIS, KNEE, FEMOROTIBIAL, CONSTRAINED, CEMENTED, METAL/POLYMER190 reports
- "UNITED" USTAR II Hip System 1115-1413United Orthopedic Corp. · Prosthesis, Knee, Femorotibial, Constrained, Cemented, Metal/Polymer3 recalls3 reports
- "UNITED" USTAR II Hip System 1115-1217United Orthopedic Corp. · Prosthesis, Knee, Femorotibial, Constrained, Cemented, Metal/Polymer3 recalls0 reports
- "UNITED" USTAR II Hip System 1115-1417United Orthopedic Corp. · Prosthesis, Knee, Femorotibial, Constrained, Cemented, Metal/Polymer3 recalls0 reports
- "UNITED" USTAR II Hip System 1115-1213United Orthopedic Corp. · Prosthesis, Knee, Femorotibial, Constrained, Cemented, Metal/Polymer3 recalls0 reports
- Endo-Model Modular Knee Prosthesis System 15-3816/11WALDEMAR LINK GmbH & Co. KG · Prosthesis, Knee, Femorotibial, Constrained, Cemented, Metal/Polymer2 recalls6 reports
- Endo-Model Modular Knee Prosthesis System 15-3816/12WALDEMAR LINK GmbH & Co. KG · Prosthesis, Knee, Femorotibial, Constrained, Cemented, Metal/Polymer2 recalls6 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 16, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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