The aim of the article is to report the existence of internal tibial plateau fractures as a possible complication in certain circumstances following a unicompartmental knee replacement. We report a patient who suffered a fracture of the internal tibial plateau after unicompartmental knee arthroplasty (UKA) that required revision surgery with a bone and mesh allograft. Peri-prosthetic fractures after a unicompartmental knee arthroplasty are rare but with the increasing indications for this procedure in recent years there are more and more cases with complications that can be a challenge for the orthopaedic surgeon. When there is a periprosthetic fracture in a unicompartmental knee arthroplasty, revision total joint replacement with bone and mesh allograft can provide good results, maintaining the functionality and avoiding long periods of immobilization.
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