Skip to main content
Top
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 10/2016

01-10-2016 | Knee

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

Authors: Bart ten Brinke, Laurens J. de Haan, Koen L. M. Koenraadt, Rutger C. I. van Geenen

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 10/2016

Login to get access

Abstract

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.
Literature
1.
go back to reference Akan B, Yildirim T, Karaguven D (2013) Medial femoral condyle fracture after cementless unicompartmental knee replacement: a rare complication. Knee 20(4):295–297CrossRefPubMed Akan B, Yildirim T, Karaguven D (2013) Medial femoral condyle fracture after cementless unicompartmental knee replacement: a rare complication. Knee 20(4):295–297CrossRefPubMed
2.
go back to reference Arastu MH, Kokke MC, Duffy PJ, Korley REC, Buckley RE (2013) Coronal plane partial articular fractures of the distal femoral condyle current concepts in management. Bone Joint J 95(9):1165–1171CrossRefPubMed Arastu MH, Kokke MC, Duffy PJ, Korley REC, Buckley RE (2013) Coronal plane partial articular fractures of the distal femoral condyle current concepts in management. Bone Joint J 95(9):1165–1171CrossRefPubMed
3.
go back to reference Baker P, Jameson S, Critchley R, Reed M, Gregg P, Deehan D (2013) Center and surgeon volume influence the revision rate following unicondylar knee replacement: an analysis of 23,400 medial cemented unicondylar knee replacements. J Bone Joint Surg Am 95(8):702–709CrossRefPubMed Baker P, Jameson S, Critchley R, Reed M, Gregg P, Deehan D (2013) Center and surgeon volume influence the revision rate following unicondylar knee replacement: an analysis of 23,400 medial cemented unicondylar knee replacements. J Bone Joint Surg Am 95(8):702–709CrossRefPubMed
4.
go back to reference Dervin GF, Carruthers C, Feibel RJ, Biachino AA, Kim PR, Thurston PR (2011) Initial experience with the oxford unicompartmental knee arthroplasty. J Arthroplasty 26(2):192–197CrossRefPubMed Dervin GF, Carruthers C, Feibel RJ, Biachino AA, Kim PR, Thurston PR (2011) Initial experience with the oxford unicompartmental knee arthroplasty. J Arthroplasty 26(2):192–197CrossRefPubMed
5.
go back to reference Faour-Martín O, Valverde-García JA, Martín-Ferrero MA, Vega-Castrillo A, de la Red Gallego MA, Suárez de Puga CC, Amigo-Liñares L (2013) Oxford phase 3 unicondylar knee arthroplasty through a minimally invasive approach: long-term results. Int Orthop 37(5):833–838CrossRefPubMedPubMedCentral Faour-Martín O, Valverde-García JA, Martín-Ferrero MA, Vega-Castrillo A, de la Red Gallego MA, Suárez de Puga CC, Amigo-Liñares L (2013) Oxford phase 3 unicondylar knee arthroplasty through a minimally invasive approach: long-term results. Int Orthop 37(5):833–838CrossRefPubMedPubMedCentral
6.
go back to reference Kim KT, Lee S, Park HS, Cho KH, Kim KS (2007) A prospective analysis of Oxford phase 3 unicompartmental knee arthroplasty. Orthopedics 30(5):15–18PubMed Kim KT, Lee S, Park HS, Cho KH, Kim KS (2007) A prospective analysis of Oxford phase 3 unicompartmental knee arthroplasty. Orthopedics 30(5):15–18PubMed
7.
go back to reference Kim KT, Lee S, Cho KH, Kim KS (2009) Fracture of the medial femoral condyle after unicompartmental knee arthroplasty. J Arthroplasty 24(7):1143CrossRefPubMed Kim KT, Lee S, Cho KH, Kim KS (2009) Fracture of the medial femoral condyle after unicompartmental knee arthroplasty. J Arthroplasty 24(7):1143CrossRefPubMed
8.
go back to reference Lewis SL, Pozo JL, Muirhead-Allwood WF (1989) Coronal fractures of the lateral femoral condyle. J Bone Joint Surg Br 71(1):118–120PubMed Lewis SL, Pozo JL, Muirhead-Allwood WF (1989) Coronal fractures of the lateral femoral condyle. J Bone Joint Surg Br 71(1):118–120PubMed
9.
go back to reference Lim HC, Bae JH, Song SH, Kim SJ (2012) Oxford phase 3 unicompartmental knee replacement in Korean patients. J Bone Joint Surg Br 94(8):1071–1076CrossRefPubMed Lim HC, Bae JH, Song SH, Kim SJ (2012) Oxford phase 3 unicompartmental knee replacement in Korean patients. J Bone Joint Surg Br 94(8):1071–1076CrossRefPubMed
10.
go back to reference Morris MJ, Molli RG, Berend KR, Lombardi AV Jr (2013) Mortality and perioperative complications after unicomparmental knee arthroplasty. Knee 20(3):218–220CrossRefPubMed Morris MJ, Molli RG, Berend KR, Lombardi AV Jr (2013) Mortality and perioperative complications after unicomparmental knee arthroplasty. Knee 20(3):218–220CrossRefPubMed
11.
go back to reference Murray DW, Goodfellow JW, O’Connor JJ (1998) The Oxford medial unicompartmental arthroplasty: a ten year survival study. J Bone Joint Surg Br 80(6):983–989CrossRefPubMed Murray DW, Goodfellow JW, O’Connor JJ (1998) The Oxford medial unicompartmental arthroplasty: a ten year survival study. J Bone Joint Surg Br 80(6):983–989CrossRefPubMed
12.
go back to reference Murray DW (2005) Mobile bearing unicompartmental knee replacement. Orthopedics 28(9):985–987PubMed Murray DW (2005) Mobile bearing unicompartmental knee replacement. Orthopedics 28(9):985–987PubMed
13.
go back to reference Pandit H, Murray DW, Dodd CA, Deo S, Waite J, Goodfellow J, Gibbons CL (2007) Medial tibial plateau fracture and the Oxford unicompartmental knee. Orthopedics. 30(5):28–31PubMed Pandit H, Murray DW, Dodd CA, Deo S, Waite J, Goodfellow J, Gibbons CL (2007) Medial tibial plateau fracture and the Oxford unicompartmental knee. Orthopedics. 30(5):28–31PubMed
14.
go back to reference Price AJ, Waite JC, Svard U (2005) Long-term clinical results of the medial Oxford unicompartmental knee arthroplasty. Clin Orthop Relat Res 435:171–180CrossRefPubMed Price AJ, Waite JC, Svard U (2005) Long-term clinical results of the medial Oxford unicompartmental knee arthroplasty. Clin Orthop Relat Res 435:171–180CrossRefPubMed
15.
go back to reference Svard UC, Price AJ (2001) Oxford medial unicompartmental knee arthroplasty. A survival analysis of an independent series. J Bone Joint Surg Br 83(2):191–194CrossRefPubMed Svard UC, Price AJ (2001) Oxford medial unicompartmental knee arthroplasty. A survival analysis of an independent series. J Bone Joint Surg Br 83(2):191–194CrossRefPubMed
Metadata
Title
Medial femoral condyle fracture as an intraoperative complication of Oxford unicompartmental knee replacement
Authors
Bart ten Brinke
Laurens J. de Haan
Koen L. M. Koenraadt
Rutger C. I. van Geenen
Publication date
01-10-2016
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 10/2016
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-014-3459-6

Other articles of this Issue 10/2016

Knee Surgery, Sports Traumatology, Arthroscopy 10/2016 Go to the issue