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Case Reports in Orthopedics
Volume 2015 (2015), Article ID 693025, 5 pages
http://dx.doi.org/10.1155/2015/693025
Case Report

Fracture of the Tibial Baseplate in Bicompartmental Knee Arthroplasty

1Sint-Augustinus Hospital, 2610 Wilrijk, Belgium
2Sint-Jozef Hospital, 2390 Malle, Belgium
3Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, Belgium

Received 21 September 2015; Revised 14 December 2015; Accepted 17 December 2015

Academic Editor: Ali F. Ozer

Copyright © 2015 Bart Stuyts et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Bicompartmental knee arthroplasty (BKA) addresses combined medial and patellofemoral compartment osteoarthritis, which is relatively common, and has been proposed as a bridge between unicompartmental and total knee arthroplasty (TKA). Case Presentation. We present the case report of a young active man treated with BKA after unsuccessful conservative therapy. Four years later, loosening with fracture of the tibial baseplate was identified and the patient was revised to TKA. Discussion. Although our case is only the second fractured tibial baseplate to be reported, we believe that the modular titanium design, with two fixation pegs, is too thin to withstand daily cyclic loading powers. Light daily routine use, rather than high-impact sports, is therefore advised. Failures may also be related to the implant being an early generation and known to be technically complex, with too few implant sizes. We currently use TKA for the treatment of medial and patellofemoral compartment osteoarthritis.