Smith v. Depuy Synthes Inc.

CourtDistrict Court, E.D. Louisiana
DecidedJuly 29, 2025
Docket2:21-cv-01085
StatusUnknown

This text of Smith v. Depuy Synthes Inc. (Smith v. Depuy Synthes Inc.) is published on Counsel Stack Legal Research, covering District Court, E.D. Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Smith v. Depuy Synthes Inc., (E.D. La. 2025).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF LOUISIANA

ROXANE SMITH CIVIL ACTION

VERSUS NO. 21-1085

DEPUY SYNTHES INC., ET AL. SECTION: “P” (3)

ORDER AND REASONS

Before the Court is a Motion for Summary Judgment filed on behalf of Defendants DePuy Synthes, Inc., DePuy Synthes Sales, Inc., Synthes USA, LLC, Medical Device Business Services, Inc., Johnson & Johnson, Synthes USA Products LLC, and DePuy Synthes Products, Inc. (collectively, “DePuy”).1 Plaintiff Roxane Smith has filed an opposition,2 and DePuy has filed a reply.3 For all the reasons that follow, DePuy’s motion is GRANTED. I. BACKGROUND This is a product liability action involving a DePuy medical device called the DePuy Synthes LCP® Periarticular Plating System 4.5 mm LCP® Proximal Tibia Plate (“the DePuy plate”). On November 9, 2019, Plaintiff fell while climbing up the steps of a camper trailer4 and broke her left tibia and fibula. Plaintiff, who suffered a closed, comminuted proximal tibial fracture that extended from just below her tibial plateau to roughly the first third of her tibial shaft as well as a proximal fibula fracture,5 sought medical treatment at Ochsner Clinic and eventually came under the care of Dr. James Mautner, a board certified orthopedic surgeon.6 On November 11, 2019, Dr. Mautner performed a preliminary surgery and used an external fixator to stabilize

1 R. Doc. 97. 2 R. Doc. 106. 3 R. Doc. 109. 4 R. Doc. 97-10 at 5. 5 R. Doc. 38 at 2, ¶ 3; R. Doc. 106-3 at 14–15. 6 R. Doc. 106-3 at 11. Plaintiff’s tibia.7 Dr. Mautner performed a more definitive surgery on November 14, 2019, and after removing the external fixator, he used the DePuy plate with 4.5mm screws to realign Plaintiff’s tibia.8 Because Plaintiff had very little intact bone between the surface of her knee joint and the fracture,9 Dr. Mautner believed this plate would achieve good alignment of the bone and would give Plaintiff the best outcome.10 The plate is designed with a number of screw holes on its

shaft to give the surgeon multiple screw placement options based on the patient’s anatomy and injury.11 Plaintiff’s implant surgery itself was unremarkable, and Dr. Mautner instructed Plaintiff, who admitted that she smoked just under a pack of cigarettes each day,12 to stop smoking and to forego weightbearing activity.13 When a patient suffers a fracture, there is always a risk the broken bone will not heal.14 Certain medical conditions and activities can cause delayed bone healing or delayed union.15 If a patient’s bone does not heal, the patient’s plate can eventually break,16 and Dr. Mautner was aware of this fact when he selected this DePuy plate for Plaintiff.17 Plaintiff was warned to stop smoking because smoking can impair wound healing and can increase the risk of nonunion or delayed union by 30%,18 and can also increase the risk of infection.19 Plaintiff,

however, continued to smoke throughout the material time period.20

7 Id. at 14–15. 8 Id. at 33. 9 Id. at 17. 10 R. Doc. 106-3 at 17–18. 11 Id. at 37, 71–73. 12 R. Doc. 97-7 at 3–4. 13 Id. at 8. 14 R. Doc. 106-3 at 22. 15 R. Doc. 97-4 at 7. 16 R. Doc. 106-3 at 106. 17 Id. 18 Id. at 23. 19 Id. at 23–24. 20 R. Doc. 97-10 at 3–4. While Plaintiff’s course of treatment was initially unremarkable, she developed an infection at her proximal tibia implant site,21 and she underwent a left knee arthroscopy and debridement surgery on January 27, 2020.22 Dr. Mautner placed Plaintiff on IV antibiotics to help fight infection so her bone would have a better chance of healing.23

After Plaintiff, who was experiencing severe pain in May of 2020, sought medical treatment for her increased pain, a May 18, 2020 x-ray showed her plate had broken.24 The plate broke due to fatigue,25 which Plaintiff’s metallurgical expert described as a progressive failure that is caused by repeated or cyclic stress.26 Although the DePuy plate broke, it remained intact long enough for the bone closest to Plaintiff’s knee joint to heal.27 On June 29, 2020, Dr. Mautner again performed surgery on Plaintiff, removing the broken plate and replacing it with a Synthes intramedullary tibular nail and interlocking screws to repair some still unhealed bone on the lower part of Plaintiff’s tibia.28 On October 12, 2021, after she suffered another infection, Plaintiff’s hardware was removed,29 but by then her bones had healed, and by August of 2022, x-rays revealed a well-healed fracture.30

On May 12, 2021, Plaintiff filed suit against DePuy in Louisiana’s 24th Judicial District Court in Jefferson Parish, alleging that the DePuy plate was defective under the Louisiana Products Liability Act (“LPLA”)31 as well as Louisiana’s law of redhibition and that DePuy breached an implied warranty of fitness. DePuy removed this action, based on federal diversity jurisdiction,

21 R. Doc. 97-7 at 3. 22 R. Doc. 106-3 at 49–51. 23 Id. at 50–56. 24 Id. at 69–70. 25 R. Doc. 97-4 at 7. 26 R. Doc. 97-15 at 8. 27 R. Doc. 106-3 at 72–73. 28 R. Doc. 97-4 at 3. 29 Id. 30 R. Doc. 106-3 at 82–85. 31 LA. REV. STAT. §§ 9:2800.51–.60. under 28 U.S.C. § 1332,32 and the case, having progressed through discovery, is ripe for adjudication. II. THE PRESENT MOTION DePuy has moved for summary judgment under Federal Rule of Civil Procedure 56,

arguing: (1) Plaintiff lacks evidence to support her design and manufacturing defect claims under the LPLA; (2) Plaintiff’s warning claims should be dismissed because DePuy adequately warned of the risks associated with its plate; Plaintiff’s surgeon understood the risks, and a different warning would have made no difference; (3) Plaintiff’s express warranty and redhibition claims are unsupported by the evidence; and (4) Plaintiff’s claim for breach of an implied warranty is not cognizable under Louisiana law. In opposition, Plaintiff argues there are several material issues of fact fatal to summary judgment. Plaintiff argues DePuy’s plate was defective in design because it contained too many screw holes along the shaft of the plate, and if DePuy had designed the plate with an insert or “fillers” for the unused screw holes, this would have “reduce[d] stress at the cross sections” and would have lengthened the useful life of the plate.33 Plaintiff also argues DePuy failed to supply

physicians with important information regarding fatigue-related failures in its plates. According to Plaintiff, DePuy failed to warn physicians where the weakest section of the plate was located.34 Plaintiff also contends a material issue of fact exists regarding the sterilization process for DePuy’s screws, and that DePuy’s sterilization process could have caused Plaintiff’s initial infection, which may have ultimately led to her delayed healing. Plaintiff also contends a complaint report that DePuy sent to the United States Food and Drug Administration (“FDA”) creates a material issue

32 R. Doc. 1. 33 R. Doc. 106 at 12. 34 Id. at 5. of fact fatal to summary judgment because the complaint report is an admission by DePuy that its plate may have caused or contributed to Plaintiff’s injury.35 III. LAW AND ANALYSIS Summary judgment is proper when there is no genuine issue as to any material fact, and the movant is entitled to judgment as a matter of law.36 The court must view the evidence in the

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Smith v. Depuy Synthes Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/smith-v-depuy-synthes-inc-laed-2025.