Knee Surgery, Sports Traumatology, Arthroscopy October 2016, Volume 24, Issue 10, pp 3191–3193

Medial femoral condyle fracture as an intraoperative complication of Oxford unicompartmental knee replacement

ten Brinke, B., de Haan, L.J., Koenraadt, K.L.M. et al.


Oxford unicompartmental knee replacement (OUKR) is associated with a low perioperative complication rate. This case report describes a periprosthetic fracture of the medial femoral condyle that occurred during an OUKR. The patient was treated with a non-weight-bearing long leg cast for 6 weeks. Afterwards, the fracture had healed, and 3 months postoperatively, there was a full range of motion. Factors leading to this complication could be the impaction force or direction, or a diminished load resistance of the distal femur. Minimally displaced coronal periprosthetic fractures after OUKR can be managed conservatively without residual functional impairment.


Level of evidence

Case report, Level IV.

Download article