Fracture distal to the tibial component and cement mantle

These fractures are similar to tibial fractures where there is no prosthesis in place.

They are classified by UCPF as V.4-C.

Commonly these occur following a simple fall from standing height.

Occasionally, more active patients might sustain a high energy fracture.

• Pain
• Swelling
• Deformity
• Need to exclude open fracture and compartment syndrome

Plain x-ray is usually sufficient.