01-10-2016 | Knee
Medial femoral condyle fracture as an intraoperative complication of Oxford unicompartmental knee replacement
Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 10/2016
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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.