SIGMA 86-6468Recalls & reported problems
Depuy (Ireland) · SIGMA TAPER STEM 13mm x 90mm CEMENTED · Class 2 · Implant
All models of SIGMA (380)
Data updated Oct 16, 2026 from official FDA records · Editorial policy
Quick summary
This DePuy Sigma stem is part of a cemented knee replacement. Reports mostly describe the stem breaking where it meets the sleeve, loosening, and repeat surgery for pain or instability. There are 24 reports, including 24 mentioning injury 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
- 24
- Deaths reported
- 0
- Injuries reported
- 24
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 24 adverse event reports that list this exact device (DI 10603295217176), received between Nov 6, 2017 and Jul 7, 2025 — classified as 24 injuries.
The most frequently reported specific device problem is “Fracture” (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 16, 2026.
Reports received per month
Most reported problems
Device problems
- Fracture11
- Adverse Event Without Identified Device or Use Problem9
- Loss of or Failure to Bond4
- Device Dislodged or Dislocated1
- Loss of Osseointegration1
Patient problems
- No Code Available8
- Pain8
- Insufficient Information4
- Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available3
- Fall3
- Joint Laxity3
- Abscess1
- Edema1
Recent adverse event reports
The 24 most recent of 24 reports, in the reporter's own words as published by the FDA.
InjuryJul 7, 2025Loss of or Failure to Bond; Fracture; Loss of or Failure to Bond; Fracture
IT WAS REPORTED THAT THE PATIENT WAS REVISED DUE TO INSTABILITY. UPON EXPLANT, IT WAS REALIZED THE STEM AND SLEEVE JUNCTION WAS BROKEN. SURGEON REPORTED A FALL PRIOR TO REPORTS OF INSTABILITY. THERE WAS LOOSENING OF SLEEVE AND SROM FEMUR AT CEMENT TO IMPLANT INTERFACE. UNKNOWN CEMENT WAS USED. DOI: (B)(6) 2022. DOR: (B)(6) 2025. AFFECTED SIDE: LEFT KNEE.
Patient problems: Fall; Joint Laxity
MAUDE report 22423919 ↗InjuryJun 16, 2025Fracture; Fracture
IT WAS REPORTED THAT PATIENT'S DISTAL FEMORAL REPLACEMENT WAS REVISED BECAUSE THE 13X90 CEMENTED STEM BROKE OFF AT THE FEMORAL SLEEVE JUNCTION. THERE WAS LOOSENING OF FEMORAL SLEEVE AT NON-CEMENTED INTERFACE DUE TO STEM BREAKING. UNKNOWN CEMENT WAS USED. AFFECTED SIDE: UNKNOWN KNEE.
Patient problems: Insufficient Information
MAUDE report 22213985 ↗InjuryFeb 24, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
ADDITIONAL INFORMATION WAS RECEIVED AND STATED ON A CALL ON (B)(6) 2025, THE PATIENT HAD A ROD PLACED AND A REVISION OF THE KNEE WAS PERFORMED DUE TO LOWER FEMUR FRACTURE (SHATTERED) ON (B)(6) 2025. SINCE THAT TIME, THE PATIENT HAS HAD MULTIPLE "PARTIAL DISLOCATIONS" WHERE THE KNEE FEELS LIKE IT POPS OUT AND THEN HAS TO BE PUSHED BACK INTO PLACE. THE PATIENT HAS BEEN EXPERIENCING SEVERE PAIN DURING THOSE EPISODES.
Patient problems: Joint Laxity; Pain
MAUDE report 21445516 ↗InjuryApr 10, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT WAS REVISED DUE TO PAINFUL TKA. DOI: UNKNOWN. DOR: (B)(6) 2024. AFFECTED SIDE: UNKNOWN KNEE SIDE.
Patient problems: Pain
MAUDE report 19082435 ↗InjuryNov 8, 2023Fracture; Fracture
IT WAS REPORTED THAT THE CEMENTED FEMORAL STEM BROKE FROM THE CEMENTED FEMORAL SLEEVE. IT WAS UNKNOWN IF THERE WAS AS SURGICAL DELAY. DOI- (B)(6) 2022. DOR- (B)(6) 2023. AFFECTED SIDE- RIGHT KNEE.
Patient problems: Insufficient Information
MAUDE report 18094205 ↗InjuryOct 12, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
PATIENT WAS REVISED FOR CHRONIC EFFUSION, DECREASED ROM, AND INCREASED PAIN. FEMORAL REVISION AND POLY EXCHANGE PERFORMED. DOI: (B)(6) 2017. DOR: (B)(6) 2023. AFFECTED SIDE: RIGHT KNEE.
Patient problems: Loss of Range of Motion; Pain; Swelling/ Edema
MAUDE report 17928207 ↗InjuryOct 5, 2023Loss of or Failure to Bond; Loss of or Failure to Bond
THE PATIENT WAS REVISED DUE TO LOOSENING OF THE TIBIAL COMPONENT. THE LOOSENING INTERFACE WAS UNKNOWN AND CEMENT MANUFACTURER WAS UNKNOWN. DOI: UNKNOWN, DOR: (B)(6) 2023, AFFECTED SIDE: LEFT KNEE.
Patient problems: Insufficient Information
MAUDE report 17878660 ↗InjuryAug 25, 2023Fracture; Fracture
PATIENT STATED THEY WERE GOING DOWN SOME STAIRS AND FELT A POP IN HIS KNEE. LOOKING AT THE X-RAYS IT APPEARED THE STEM BROKE AT THE JUNCTION BETWEEN THE STEM AND FEMORAL SLEEVE. THEY REMOVED AND REVISED. IT WAS UNKNOWN ABOUT SURGICAL DELAY. DOI: (B)(6) 2021. DOR: (B)(6) 2023. AFFECTED SIDE: RIGHT KNEE.
Patient problems: Insufficient Information
MAUDE report 17622756 ↗InjuryJul 17, 2023Loss of or Failure to Bond; Loss of or Failure to Bond
PATIENT WAS REVISED DUE TO FELL AND LOOSENED HER TIBIA. DOI: UNKNOWN; DOR: (B)(6) 2023; AFFECTED SIDE: RIGHT KNEE.
Patient problems: Fall
MAUDE report 17334197 ↗InjuryMar 28, 2022Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
SURGEON REPORTED TO (B)(6): "SUDDEN INCREASE OF PAIN IN THE LEFT KNEE JOINT AFTER A FALL EVENT."
Patient problems: Fall; Pain
MAUDE report 13928010 ↗InjuryJul 22, 2021Loss of or Failure to Bond; Device Dislodged or Dislocated; Loss of or Failure to Bond; Device Dislodged or Dislocated
THE PATIENT WAS REVISED TO ADDRESS LOOSENING AT THE STEM-SLEEVE JUNCTION. THE STEM WAS SPINNING LOOSE FROM THE SLEEVE IN THE CANAL. DOI: UNKNOWN. DOR: (B)(6) 2021; RIGHT KNEE.
Patient problems: Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available
MAUDE report 12210952 ↗InjuryJul 14, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
THIS CASE IS TO CAPTURE PATIENTS¿ PRIOR REVISIONS REPORTED IN (B)(4). THIS WAS THE TENTH REVISION FOR THIS PATIENT; PATIENT UNDERWENT A LEFT PRIMARY TOTAL KNEE REPLACEMENT (TKR) ON (B)(6) 2009. PATIENT UNDERWENT A REVISION PROCEDURE ON (B)(6) 2020 DUE TO TIBIAL PAIN.
Patient problems: Pain
MAUDE report 12168018 ↗InjuryFeb 16, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
ON (B)(6) 2004, THE PATIENT UNDERWENT A BILATERAL KNEE ARTHROPLASTY DUE TO ARTHRITIS. DEPUY PRODUCTS WERE IMPLANTED IN BOTH KNEES. THERE WERE NO INDICATED INTRA-OPERATIVE COMPLICATIONS. ON (B)(6) 2011, THE PATIENT UNDERWENT A RIGHT KNEE REVISION TO ADDRESS INFECTION, COMPARTMENT SYNDROME, DISLOCATION, INSTABILITY, AND ABSCESS. ALL COMPONENTS WERE NOTED TO BE REMOVED AND REPLACED WITH ARTICULATING ANTIBIOTIC SPACER. UNKNOWN MANUFACTURER PRODUCTS WERE IMPLANTED DURING THE REVISION.
Patient problems: Abscess; Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available; Joint Dislocation; Joint Laxity
MAUDE report 11334459 ↗InjuryJan 25, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
OPERATIVE NOTES (B)(6) 2021 INDICATE THE PATIENT RECEIVED A LEFT TOTAL KNEE SURGICAL IRRIGATION AND DEBRIDEMENT WITH WOUND CLOSURE DUE TO WOUND DEHISCENCE AND CONTINUED INFECTION. UPON ENTERING THE WOUND, NECROTIC TISSUE WAS EXCISED, AND A THOROUGH IRRIGATION WAS DONE. NO IMPLANTS WERE REVISED. THE SURGERY WAS COMPLETED WITHOUT INDICATION OF COMPLICATION BY THE SURGEON.
Patient problems: Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available; Necrosis; Wound Dehiscence
MAUDE report 11223454 ↗InjuryOct 19, 2020Fracture; Fracture
REVISION OF CEMENTED FEMORAL STEM 13X90MM RIGHT SIDE BECAUSE OF FRACTURE. DOI: (B)(6) 2018, DOR: (B)(6) 2020. A SURGICAL DELAY WAS NOT REPORTED.
Patient problems: No Code Available
MAUDE report 10697068 ↗InjuryOct 16, 2020Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
CLINICAL ADVERSE EVENT RECEIVED FOR LEFT KNEE SWELLING/HEMARTHROSIS. EVENT IS SERIOUS AND IS CONSIDERED MODERATE. EVENT IS POSSIBLY RELATED TO DEVICE AND THERE IS A REMOTE POSSIBILITY THAT THE EVENT IS RELATED TO PROCEDURE. DATE OF IMPLANTATION: (B)(6) 2019. DATE OF REVISION (INSERT): (B)(6) 2020. DATE OF EVENT (ONSET): (B)(6) 2020. (LEFT KNEE). TREATMENT: SURGICAL IRRIGATION & DEBRIDEMENT, WITH NO REVISION OF PRODUCTS.
Patient problems: Edema; No Code Available; Unspecified Infection
MAUDE report 10691171 ↗InjuryAug 20, 2020Fracture; Fracture
THE PATIENT WAS REVISED TO ADDRESS PAIN AND LOOSENING OF THE UNKNOWN COMPONENT AT THE CEMENT TO IMPLANT AND BONE TO CEMENT INTERFACE. THE SLEEVE/STEM INTERFACE BROKE. UNKNOWN CEMENT WAS USED. NO SURGICAL DELAY. NO ADDITIONAL INFORMATION IS AVAILABLE. DOI: (B)(6) 2019, DOR: (B)(6) 2020, RIGHT KNEE.
Patient problems: No Code Available; Pain
MAUDE report 10431998 ↗InjuryFeb 17, 2020Fracture; Fracture
THE PATIENT WAS REVISED TO ADDRESS LOOSENING OF THE UNKNOWN COMPONENT AT CEMENT TO IMPLANT INTERFACE. UNKNOWN CEMENT WAS USED. THE FEMORAL PRODUCTS WERE EXPLANTED. SZ 2.5 X 15MM PFC STAB POLY, TWO 8 MM POSTERIOR AUGMENT, TWO 8 MM DISTAL AUGMENT, SIZE 2 FEMUR, 13X90 CEMENTED STEM. NO LOT NUMBERS COULD BE READ. DOI: UNKNOWN; DOR: (B)(6) 2020; RIGHT KNEE.
Patient problems: No Code Available
MAUDE report 9717133 ↗InjuryNov 25, 2019Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
PATIENT WAS REVISED TO ADDRESS UNSTABLE LCS. REVISED ONLY THE FEMUR AND LINER, WHILE KEEPING THE TIBIA COMPONENTS. ALSO REMOVED THE PATELLA COMPONENT. DOI: (B)(6) 2014; DOR: (B)(6) 2019; RIGHT KNEE.
Patient problems: No Code Available
MAUDE report 9369490 ↗InjuryMar 26, 2019Fracture; Fracture
THE PATIENT WAS REVISED DUE TO FRACTURE OF THE THREADS ON THE CEMENTED STEM AT THE SLEEVE/STEM JUNCTION. THE LPS FEMORAL CONSTRUCT WAS REVISED WITH ANOTHER LPS DISTAL FEMORAL REPLACEMENT WITH A 40MM SEGMENT AND A 12X125 CEMENTED STEM. THE POLY WAS ALSO REPLACED. DOI: (B)(6) 2018; DOR: (B)(6) 2019, RIGHT KNEE.
Patient problems: No Code Available
MAUDE report 8452694 ↗InjuryMar 12, 2019Fracture; Fracture
PATIENT REPORTED WITH PAINFUL AND UNSTABLE REVISION KNEE CONSTRUCT (TC3 FB WITH CEMENTED STEM). RADIOGRAPH SHOWED APPARENT BROKEN TIBIAL STEM EXTENSION AT THE STEM/TRAY INTERFACE. REVISED FB TRAY AND 13X90 CEMENTED STEM TO A 25MM RP BUILD-UP TIBIAL TRAY AND 13X90 CEMENTED STEM WITH A 10MM TC3 RP POLY RESULTING IN A STABLE CONSTRUCT. PATIENT EXPERIENCED POST-OP DEVICE MALFUNCTION. TIBIAL STEM EXTENSION SHEARED OFF AT THE STEM EXTENSION TIBIAL TRAY INTERFACE,
Patient problems: No Code Available; Pain
MAUDE report 8413265 ↗InjuryDec 21, 2018Loss of Osseointegration; Loss of Osseointegration
COMPLAINT DESCRIPTION: THE PATIENT WAS REVISED TO ADDRESS LOOSENING OF THE DISTAL FEMUR AT THE BONE TO IMPLANT INTERFACE. IT WAS ALSO STATED THAT IT APPEARS THAT THE SLEEVE DID NOT INGROWTH FOR LONG TERM STABILITY, THE CONSTRUCT BROKE AT THE STEM/SLEEVE JUNCTION.
Patient problems: Injury; No Code Available; Pain
MAUDE report 8190102 ↗InjuryMay 22, 2018Fracture; Fracture
DER STATES THAT THE 13X90MM STEM BROKE AT STEM/SLEEVE JUNCTION. THE STEM, FEMORAL SLEEVE, ADAPTOR, AND LPS SEGMENT WERE REMOVED. DOI: (B)(6) 2018; DOR: (B)(6) 2018; UNKNOWN AFFECTED SIDE.
Patient problems: No Known Impact Or Consequence To Patient; Not Applicable
MAUDE report 7533253 ↗InjuryNov 6, 2017Fracture; Fracture
THE PATIENT WAS REVISED TO ADDRESS FRACTURED FEMORAL STEM AND LOOSENING OF THE FEMUR AT THE BONE TO CEMENT INTERFACE. DEPUY CEMENT WAS USED.
Patient problems: No Information
MAUDE report 7003581 ↗
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 16, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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