Authors of section

Executive editor

Michael Baumgaertner


Michael Huo, Michael Leslie, Iain McFadyen

Open all credits

Fracture distal to the tibial component and cement mantle

General considerations

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

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

Distant to the implant and cement mantle


Commonly these occur following a simple fall from standing height.

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


Clinical signs

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


Plain x-ray is usually sufficient.

Go to indication