Medial tibial plateau fracture complicating unicompartmental knee arthroplasty

We describe a new cause of a medial tibial plateau fracture complicating the early postoperative rehabilitation following unicompartmental knee arthroplasty. The patient was successfully treated by open reduction and internal fixation by buttress plating the fracture and retaining the prosthesis. The treatment option used proved to be successful, although careful patient selection for unicompartmental knee arthroplasty should be recommended to decrease the risk of this complication. (C) 2007 Elsevier Inc. All rights reserved.