Rare Periprosthetic Fractures Following Oxford Unicompartmental Knee Arthroplasty: A Case Series of Supracondylar Femoral and Proximal Tibial Fractures
Abstract
Introduction: Periprosthetic fractures (PPFs) are well-documented complications after total knee arthroplasty but are exceedingly rare following unicompartmental knee arthroplasty (UKA). Given UKA’s design preserves native bone stock and maintains near-normal joint biomechanics, PPFs around well-fixed UKA components are infrequently encountered and poorly described in the literature. To the best of our knowledge, there are very few detailed reports of supracondylar femoral or proximal tibial PPFs following mobile-bearing UKA. This case series is important because it highlights not only the rarity of these injuries but also their successful management without compromising the integrity of the prosthetic components. Case Report: We present two unique cases of PPFs following cemented mobile-bearing Oxford UKA in elderly South Asian women. The first case involves a 63-year-old woman who sustained a high-energy supracondylar femoral PPF (Unified Classification System Type C) 9 months post-UKA. Despite the severity of the injury, radiographs confirmed the femoral component remained well-fixed with no evidence of polyethylene insert dislocation. She was treated successfully with retrograde intramedullary nailing, achieving full fracture union and 130° of knee flexion by 6 months postoperatively. The second case involves a 60-year-old woman who sustained a proximal third tibial PPF (Type C) two and a half months after UKA. Again, both components remained secure without signs of…
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