Triathlon 5531-G-311Recalls & reported problems
Howmedica Osteonics Corp. · Tibial Bearing Insert · Class 2 · Implant
All models of Triathlon (608)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
Quick summary
This Howmedica Osteonics Triathlon tibial bearing insert is the plastic piece fitted into a total knee replacement. The 32 reports mostly describe the insert or other knee components loosening, cracking or breaking, and the knee becoming unstable, painful or difficult to walk, often leading to revision surgery to swap in a thicker insert. 29 reports describe injuries and no deaths. No recalls name this device.
AI-generated from the FDA records on this page and checked automatically against the numbers below. Read the details before relying on it.
- Adverse event reports
- 32
- Deaths reported
- 0
- Injuries reported
- 29
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 32 adverse event reports that list this exact device (DI 07613327045734), received between Nov 9, 2017 and Dec 17, 2025 — classified as 29 injuries, 3 malfunctions.
The most frequently reported specific device problem is “Insufficient Device Problem Information” (11 reports).
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
- Insufficient Device Problem Information11
- Unstable11
- Fracture7
- Adverse Event Without Identified Device or Use Problem3
- Degraded3
- Detachment of Device or Device Component3
- Break2
- Device Dislodged or Dislocated2
Patient problems
- Injury16
- Pain9
- Joint Laxity7
- Unspecified Infection6
- Ambulation or Postural Difficulties3
- Insufficient Information2
- No Consequences Or Impact To Patient2
- Foreign Body Reaction1
Recent adverse event reports
The 25 most recent of 32 reports, in the reporter's own words as published by the FDA.
InjuryDec 17, 2025Unstable; Unstable
THE FOLLOWING INFORMATION WAS PROVIDED: LEFT TOTAL KNEE. THE REVISION TODAY WAS DUE TO HYPER EXTENSION AND INSTABILITY. THE 11 MM INSERT WAS REMOVED AND REPLACED WITH A 14 MM INSERT TO ADDRESS THE INSTABILITY AND HYPER EXTENSION. IT WAS ALSO DISCOVERED THAT THE PATELLA IMPLANT WAS SHOWING SIGNS OF WEAR. THE PATELLA WAS REVISED TO A COMPETITOR PATELLA AS THAT IS WHAT WAS AVAILABLE AT THE HOSPITAL. THIS SURGERY WAS ADDED ON LATE AND INSERTS WERE REQUESTED SO PATELLA COMPONENTS WERE NOT ORDERED IN.
Patient problems: Joint Laxity
MAUDE report 23830487 ↗InjuryNov 24, 2025Unstable; Unstable
SURGEON REVISED A CS INSERT POLY ON A LEFT KNEE DUE TO PATIENT HYPEREXTENDING. HE WENT FROM A 3X11 TO A 3X16.
Patient problems: Joint Laxity
MAUDE report 23638258 ↗InjuryJul 29, 2025Fracture; Fracture
"INCIDENT DESCRIPTION: REVISION FOLLOWING POLYETHYLENE BREAKAGE ON KNEE PROSTHESIS OPERATED ON IN 2016. PATIENT INFORMATION: CURRENT PATIENT STATUS: NR".
Patient problems: Insufficient Information
MAUDE report 22660001 ↗InjuryJun 30, 2024Degraded; Fracture; Degraded; Fracture
OVER TIME PATIENT HAD LESS FLEXION AND MORE PAIN. EXPLANTED BROKEN 3X11 CS POLY.
Patient problems: Ambulation or Postural Difficulties; Loss of Range of Motion; Pain
MAUDE report 19640956 ↗InjuryMar 1, 2024Degraded; Fracture; Detachment of Device or Device Component; Device Dislodged or Dislocated; Degraded; Fracture; Detachment of Device or Device Component; Device Dislodged or Dislocated
IT WAS REPORTED THAT THE PATIENT'S RIGHT KNEE WAS REVISED DUE TO GLOBAL INSTABILITY AND PAIN. INTRA-OPERATIVELY, THE FOLLOWING WERE OBSERVED: THE LOCKING WIRE OF THE INSERT BROKE, AND THE INSERT DISLODGED FROM THE BASEPLATE. THE FEMORAL COMPONENT WAS ARTICULATING POSTERIORLY, CAUSING INSERT WEAR AND METALLOSIS DUE TO ARTICULATING WITH THE BASEPLATE. THE BASEPLATE'S POSTERIOR MEDIAL PORTION WAS BROKEN OFF. PATIENT'S ACTIVITY LEVEL WAS NORMAL, NO TRAUMA REPORTED. THE PATIENT'S CR KNEE (INCLUDING PATELLAR COMPONENT) WAS CONVERTED TO A TS KNEE. REP CONFIRMED THAT NO FURTHER INFORMATION WILL BE RELEASED BY THE HOSPITAL OR SURGEON.
Patient problems: Foreign Body Reaction; Joint Laxity; Pain
MAUDE report 18814727 ↗InjuryOct 14, 2022Unstable; Unstable
IT WAS REPORTED THAT THE PATIENT'S RIGHT KNEE WAS REVISED. AS REPORTED: "WE ARE DOING A POLY EXCHANGE TODAY FOR GLOBAL INSTABILITY. GOING TO THICKER POLY." A 3X11 CS INSERT WAS REVISED TO A 3X16 CS INSERT. SPOKE TO REP. INTRA-OPERATIVELY, IT WAS CONFIRMED THAT NO IMPLANTS WERE LOOSE, WORN, OR BROKEN. REP CONFIRMED THAT NO FURTHER INFORMATION WILL BE RELEASED BY THE HOSPITAL OR SURGEON.
Patient problems: Joint Laxity
MAUDE report 15604222 ↗InjurySep 9, 2022Unstable; Adverse Event Without Identified Device or Use Problem; Unstable; Adverse Event Without Identified Device or Use Problem
THE FOLLOWING WAS REPORTED: I HAD A TOTAL KNEE REPLACEMENT DONE AND, HAVE HAD MAJOR ISSUES WITH IT. THE PLASTICS WERE LOOSE CAUSING MY KNEE TO BUCKLE, LOCK UP, HAVE EXCESS SIDE TO SIDE MOVEMENT, CONSTANT PAIN IN MY LEFT KNEE AND, FELL DOWN STAIRS BECAUSE OF IT. I HAD A REVISION SURGERY DONE ON (B)(6) 2020, WHERE THE PLASTICS WERE REPLACED. I HAVE MADE MULTIPLE TRIPS TO MY ORTHOPEDIC DOCTOR FOR SEVERE PAIN IN MY KNEE BEFORE AND AFTER THE SECOND SURGERY WITH NO AVAIL. I AM EXTREMELY UNHAPPY WITH THE RESULTS OF THE KNEE REPLACEMENT AND NOW, SUFFER NERVE DAMAGE AND CONSTANT EXTREME PAIN IN MY LEFT KNEE. THE PAIN IN MY KNEE IS SO SEVERE THAT I CAN¿T SLEEP AT NIGHT NOR CAN I PERFORM NORMAL DAY TO DAY ACTIVITIES. THIS REPORT IS FOR REVISION OF THE PATIENT'S LEFT KNEE ON (B)(6) 2020.
Patient problems: Joint Laxity; Pain
MAUDE report 15392924 ↗InjurySep 1, 2022Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
PATIENT REPORTED PAIN, SWELLING AND DIFFICULTY WALKING. PATIENT WOULD LIKE TO KNOW IF IMPLANTS ARE SUBJECT TO A RECALL. MEDWATCH MW5111379 RECEIVED. AS REPORTED: "RECEIVED STRYKER TIBIAL X3 TRIATHLON KNEE REPLACEMENT. FDA SAFETY REPORT ID# (B)(4)." CATALOG AND LOT FOR A KNEE INSERT IS PROVIDED. THE ONLY OTHER INFORMATION PROVIDED: "OUTCOMES ATTRIBUTED TO ADVERSE EVENT: DISABILITY OR PERMANENT DAMAGE. TYPE OF EVENT: SERIOUS INJURY."
Patient problems: Ambulation or Postural Difficulties; Pain; Swelling/ Edema
MAUDE report 15337655 ↗InjuryJan 12, 2022Degraded; Fracture; Unstable; Degraded; Fracture; Unstable
IT WAS REPORTED THAT THE PATIENT'S RIGHT KNEE WAS REVISED DUE TO FLEXION INSTABILITY, GLOBAL INSTABILITY, AND TIBIAL BASEPLATE SUBSIDENCE. INTRA-OPERATIVELY, THE FOLLOWING WERE NOTED: THE LOCKING WIRE OF THE INSERT WAS BROKEN AT BOTH LOCKING POINTS OF THE BASEPLATE, POSTEROMEDIAL WEAR WAS NOTED ON THE INSERT, AND A PIECE OF THE INSERT (ABOUT THE SIZE OF A DIME) HAD BROKEN OFF THE POSTEROMEDIAL PORTION. THE BASEPLATE, INSERT, AND FEMORAL COMPONENT WERE REVISED TO COMPETITOR DEVICES (NO ALLEGATIONS WERE MADE AGAINST THE FEMORAL COMPONENT), THE PATELLAR COMPONENT WAS RETAINED.
Patient problems: Joint Laxity
MAUDE report 13235311 ↗InjuryDec 10, 2021Break; Fracture; Detachment of Device or Device Component; Device Dislodged or Dislocated; Break; Fracture; Detachment of Device or Device Component; Device Dislodged or Dislocated
INSERT DISLOCATED POSTERIORLY DUE TO BREAKAGE (WEAR).
Patient problems: Insufficient Information
MAUDE report 12974797 ↗InjuryNov 11, 2021Unstable; Unstable
PATIENT HAD BILATERAL STAGED INDEX TKA. PATIENT COMPLAINS OF INSTABILITY AND VALGUS DEFORMITY. RIGHT LATERAL PLATEAU COLLAPSE. UNDERGOES REVISION ON MARCH 3, 2021. ALL COMPONENTS EXCHANGED EXCEPT PATELLA.
Patient problems: Ambulation or Postural Difficulties
MAUDE report 12795112 ↗InjurySep 14, 2021Material Erosion; Fracture; Unstable; Material Erosion; Fracture; Unstable
A DR HAS REPORTED A KNEE REVISION WHERE HE NEEDED TO EXCHANGE THE POLY INSERT. THE PATIENT HAD A SIZE #3/11MM CS INSERT CURRENTLY IN. UPON EXPLANT DR. NOTICED THE INSERT WAS DAMAGED POSTERIORLY ON THE MEDIAL SIDE. UPDATE: SURGEON STATED THE PATIENT WAS COMPLAINING OF PAIN AND INSTABILITY WHICH LEAD TO THE REVISION.
Patient problems: Joint Laxity; Pain
MAUDE report 12466420 ↗InjuryMar 25, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
AS REPORTED: "PT. HAS HAD PAIN FOR 4 MONTHS CAME IN TO THE ER YESTERDAY THEY TAPPED THE KNEE AND ITS INFECTED." SPOKE TO REP: A STAGE 1 REVISION FOR INFECTION WAS DONE ON THE PATIENT'S RIGHT KNEE. A SIZE 3 FEMORAL COMPONENT, TRIATHLON CS INSERT, TRITANIUM BASEPLATE, AND TRIATHLON PATELLA WERE REMOVED. OTHER THAN EXPLANT PICTURES, REP CONFIRMED THAT NO FURTHER INFORMATION WOULD BE RELEASED BY THE HOSPITAL OR SURGEON.
Patient problems: Unspecified Infection
MAUDE report 11571517 ↗InjuryApr 8, 2020Insufficient Device Problem Information; Insufficient Device Problem Information
A PER FORM WAS PROVIDED WITH A BLANK EVENT DESCRIPTION REPORTING A REVISION OF THE PATIENT'S KNEE. A BASEPLATE AND INSERT ARE IN THE GRID. ADDITIONAL NOTE STATES "PATIENT STATES NO FALL."
Patient problems: Injury
MAUDE report 9937965 ↗InjuryJan 31, 2020Insufficient Device Problem Information; Insufficient Device Problem Information
PROCEDURE: THE PATIENT UNDERWENT RIGHT TOTAL KNEE REPLACEMENT (B)(6) 2017. PATIENT HAD SINGLE-STAGE EXCHANGE FOR INFECTION (B)(6) 2019. ALL COMPONENTS EXCHANGED.
Patient problems: Injury; Unspecified Infection
MAUDE report 9653848 ↗InjuryDec 23, 2019Fracture; Fracture
IT WAS REPORTED THAT A POLY SWAP OF THE PATIENT'S RIGHT KNEE WAS PERFORMED. INTRA-OPERATIVELY, THE POSTERIOR LATERAL ASPECT OF THE INSERT WAS FOUND TO BE FRACTURED. REP WILL TRY TO OBTAIN MORE INFORMATION PERTINENT TO THE CASE, AND WILL TRY TO OBTAIN THE IMPLANT FOR RETURN.
Patient problems: Injury
MAUDE report 9512540 ↗MalfunctionOct 22, 2019Detachment of Device or Device Component; Detachment of Device or Device Component
PRIMARY PROCEDURE, RIGHT KNEE. AFTER IMPACTION, THE LOCKING WIRE OF THE 3X11 CS INSERT WAS FOUND OUT OF THE IMPLANT. SURGEON ALLEGES THAT THE WIRE WAS LOOSE IN THE IMPLANT PRIOR TO IMPACTION. ANOTHER 3X11 CS INSERT (SAME CATALOG, DIFFERENT LOT) WAS OBTAINED AND WAS IMPLANTED WITHOUT ISSUE. THERE WAS A SURGICAL DELAY OF LESS THAN A MINUTE WITHOUT USE OF TOURNIQUET.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 9221086 ↗InjuryOct 14, 2019Unstable; Noise, Audible; Unstable; Noise, Audible
AS REPORTED: "PAIN, INSTABILITY, CLICKING. ALL AVAILABLE INFORMATION SUBMITTED". REP PROVIDED PRE-REVISION X-RAYS, PRIMARY OPERATIVE REPORT, AN IMPLANT REPORT, AND EXPLANT PICTURE FOR REVISION OF THE PATIENT'S LEFT KNEE. A 3X11 CS INSERT WAS REVISED TO A 3X16 CS INSERT.
Patient problems: Injury; Pain
MAUDE report 9184986 ↗InjuryOct 1, 2019Break; Unstable; Naturally Worn; Break; Unstable; Naturally Worn
IT WAS REPORTED THAT THE PATIENT'S RIGHT KNEE WAS REVISED DUE TO INSTABILITY. INTRA-OPERATIVELY, THE 3X11 CS INSERT WAS OBSERVED TO BE BROKEN POSTERIORLY ON THE MEDIAL AND LATERAL ASPECT OF THE DEVICE. THE INSERT WAS REVISED. THE REVISED DEVICE WILL BE RETURNED AND THE REP PROVIDED 1 PAGE OF THE PRIMARY OPERATIVE REPORT, AND REPORTED THAT NO FURTHER INFORMATION WILL BE AVAILABLE.
Patient problems: Injury
MAUDE report 9141866 ↗InjuryJul 25, 2019Unstable; Naturally Worn; Unstable; Naturally Worn
IT WAS REPORTED THROUGH THE COMMUNICATION OF AN ATTORNEY THAT ALLEGEDLY THE PATIENT WAS REVISED DUE TO "PAIN, GROSS INSTABILITY, MECHANICAL COMPLICATION AND SIGNIFICANT POLYETHYLENE WEAR AND DAMAGE OF LEFT TOTAL KNEE."
Patient problems: Injury; Pain
MAUDE report 8828103 ↗InjuryJun 19, 2019Unstable; Malposition of Device; Unstable; Malposition of Device
IT WAS REPORTED THROUGH THE COMMUNICATION OF AN ATTORNEY THAT ALLEGEDLY THE PATIENT WAS REVISED DUE TO "FAILED LEFT TOTAL KNEE ARTHROPLASTY SECONDARY TO MALALIGNMENT AND INSTABILITY".
Patient problems: Injury
MAUDE report 8712656 ↗InjuryJun 11, 2019Insufficient Device Problem Information; Insufficient Device Problem Information
IT WAS REPORTED THROUGH THE COMMUNICATION OF AN ATTORNEY THAT ALLEGEDLY THE PATIENT WAS REVISED.
Patient problems: Injury
MAUDE report 8686827 ↗InjuryMay 22, 2019Insufficient Device Problem Information; Insufficient Device Problem Information
IT WAS REPORTED THROUGH THE COMMUNICATION OF AN ATTORNEY THAT ALLEGEDLY THE PATIENT WAS REVISED DUE TO "FAILED LEFT TOTAL KNEE ARTHROPLASTY WITH CATASTROPHIC POLYETHYLENE FAILURE".
Patient problems: Injury
MAUDE report 8633082 ↗InjuryMay 7, 2019Insufficient Device Problem Information; Insufficient Device Problem Information
THE PATIENT HAD A RIGHT KNEE REVISION DUE TO UNKNOWN REASON. CS INSERT, FEMORAL COMPONENT AND A CANCELLOUS BONE SCREW WERE REVISED. REP REPORTED NO FURTHER INFORMATION IS AVAILABLE.
Patient problems: Injury
MAUDE report 8588474 ↗InjuryMar 18, 2019Insufficient Device Problem Information; Insufficient Device Problem Information
IT WAS REPORTED THAT PATIENT'S RIGHT KNEE WAS REVISED DUE TO PAIN. POSSIBLE CAUSE OR CONTRIBUTOR FOR PAIN NOT REPORTED TO REP. A 3 X 11 CS INSERT AND SIZE 3 CR FEMORAL COMPONENT WERE REVISED TO A SIZE 2 TS FEMORAL COMPONENT WITH STEM AND 2 AUGMENTS, A 3X11 PS INSERT, AND A BONE PLUG.
Patient problems: Injury; Pain
MAUDE report 8430375 ↗
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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