{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T20:55:26Z","timestamp":1781902526482,"version":"3.54.5"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,19]]},"DOI":"10.7759\/cureus.111166","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T20:19:12Z","timestamp":1781900352000},"source":"Crossref","is-referenced-by-count":0,"title":["Delayed Fracture After Medial Unicompartmental Knee Replacement: Two Cases of Peri-Implant Fracture"],"prefix":"10.7759","author":[{"given":"Zayar","family":"Aung","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takafumi","family":"Hiranaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryoma","family":"Inoue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiro","family":"Fukai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motoki","family":"Koide","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06449-3","article-title":"Comparable incidence of periprosthetic tibial fractures in cementless and cemented unicompartmental knee arthroplasty: a systematic review and meta-analysis","volume":"30","author":"Burger JA","year":"2022","unstructured":"Burger JA, Jager T, Dooley MS, Zuiderbaan HA, Kerkhoffs GM, Pearle AD. Comparable incidence of periprosthetic tibial fractures in cementless and cemented unicompartmental knee arthroplasty: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2022, 30:852-74. 10.1007\/s00167-021-06449-3","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2022.01.074","article-title":"The impact of component design and fixation on stress shielding after modern total knee arthroplasty","volume":"37","author":"Bendich I","year":"2022","unstructured":"Bendich I, Lawrie CM, Riegler V, Barrack RL, Nunley RM. The impact of component design and fixation on stress shielding after modern total knee arthroplasty. J Arthroplasty. 2022, 37:S221-5. 10.1016\/j.arth.2022.01.074","journal-title":"J Arthroplasty"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/s0883-5403(03)00330-9","article-title":"Tibial plateau stress fracture: a complication of unicompartmental knee arthroplasty using 4 guide pinholes","volume":"18","author":"Brumby SA","year":"2003","unstructured":"Brumby SA, Carrington R, Zayontz S, Reish T, Scott RD. Tibial plateau stress fracture: a complication of unicompartmental knee arthroplasty using 4 guide pinholes. J Arthroplasty. 2003, 18:809-12. 10.1016\/s0883-5403(03)00330-9","journal-title":"J Arthroplasty"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/s0883-5403(96)80109-4","article-title":"Functional analysis of cemented medial unicompartmental knee arthroplasty","volume":"11","author":"Chassin EP","year":"1996","unstructured":"Chassin EP, Mikosz RP, Andriacchi TP, Rosenberg AG. Functional analysis of cemented medial unicompartmental knee arthroplasty. J Arthroplasty. 1996, 11:553-9. 10.1016\/s0883-5403(96)80109-4","journal-title":"J Arthroplasty"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.14456\/vmj.2022.41","article-title":"Stress shielding in the proximal tibia after total knee arthroplasty: a finite element analysis of 2- and 4-mm thick tibia prosthesis models","volume":"66","author":"Chaiyakit P","year":"2022","unstructured":"Chaiyakit P, Ompornnuwat K, Hongku N, Janphuang P. Stress shielding in the proximal tibia after total knee arthroplasty: a finite element analysis of 2- and 4-mm thick tibia prosthesis models. Vajira Med J. 2022, 66:397-406. 10.14456\/vmj.2022.41","journal-title":"Vajira Med J"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2009.06.001","article-title":"Return to work following knee arthroplasty","volume":"17","author":"Foote JA","year":"2010","unstructured":"Foote JA, Smith HK, Jonas SC, Greenwood R, Weale AE. Return to work following knee arthroplasty. Knee. 2010, 17:19-22. 10.1016\/j.knee.2009.06.001","journal-title":"Knee"},{"key":"ref7","article-title":"The mechanostat: a proposed pathogenic mechanism of osteoporoses and the bone mass effects of mechanical and nonmechanical agents","volume":"2","author":"Frost HM","year":"1987","unstructured":"Frost HM. The mechanostat: a proposed pathogenic mechanism of osteoporoses and the bone mass effects of mechanical and nonmechanical agents. Bone Miner. 1987, 2:73-85.","journal-title":"Bone Miner"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-019-03296-3","article-title":"Greater activity, better range of motion and higher quality of life following unicompartmental knee arthroplasty: a comparative case-control study","volume":"140","author":"Hauer G","year":"2020","unstructured":"Hauer G, Sadoghi P, Bernhardt GA, et al.. Greater activity, better range of motion and higher quality of life following unicompartmental knee arthroplasty: a comparative case-control study. Arch Orthop Trauma Surg. 2020, 140:231-7. 10.1007\/s00402-019-03296-3","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1080\/17434440.2024.2367002","article-title":"Advantages and limitations of mobile-bearing unicompartmental knee arthroplasty: an overview of the literature","volume":"21","author":"Hiranaka T","year":"2024","unstructured":"Hiranaka T. Advantages and limitations of mobile-bearing unicompartmental knee arthroplasty: an overview of the literature. Expert Rev Med Devices. 2024, 21:587-600. 10.1080\/17434440.2024.2367002","journal-title":"Expert Rev Med Devices"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.102B7.BJJ-2019-1754.R1","article-title":"Tibial shape and size predicts the risk of tibial plateau fracture after cementless unicompartmental knee arthroplasty in Japanese patients","volume":"102-B","author":"Hiranaka T","year":"2020","unstructured":"Hiranaka T, Yoshikawa R, Yoshida K, et al.. Tibial shape and size predicts the risk of tibial plateau fracture after cementless unicompartmental knee arthroplasty in Japanese patients. Bone Joint J. 2020, 102-B:861-7. 10.1302\/0301-620X.102B7.BJJ-2019-1754.R1","journal-title":"Bone Joint J"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.02.043","article-title":"The valgus inclination of the tibial component increases the risk of medial tibial condylar fractures in unicompartmental knee arthroplasty","volume":"31","author":"Inoue S","year":"2016","unstructured":"Inoue S, Akagi M, Asada S, Mori S, Zaima H, Hashida M. The valgus inclination of the tibial component increases the risk of medial tibial condylar fractures in unicompartmental knee arthroplasty. J Arthroplasty. 2016, 31:2025-30. 10.1016\/j.arth.2016.02.043","journal-title":"J Arthroplasty"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.5792\/ksrr.16.045","article-title":"Mid-term results of Oxford medial unicompartmental knee arthroplasty in young Asian patients less than 60 years of age: a minimum 5-year follow-up","volume":"29","author":"Kim YJ","year":"2017","unstructured":"Kim YJ, Kim BH, Yoo SH, Kang SW, Kwack CH, Song MH. Mid-term results of Oxford medial unicompartmental knee arthroplasty in young Asian patients less than 60 years of age: a minimum 5-year follow-up. Knee Surg Relat Res. 2017, 29:122-8. 10.5792\/ksrr.16.045","journal-title":"Knee Surg Relat Res"},{"key":"ref13","article-title":"Periprosthetic fracture of the tibial plateau after unicompartmental knee arthroplasty","volume":"72","author":"Van Loon P","year":"2006","unstructured":"Van Loon P, de Munnynck B, Bellemans J. Periprosthetic fracture of the tibial plateau after unicompartmental knee arthroplasty. Acta Orthop Belg. 2006, 72:369-74.","journal-title":"Acta Orthop Belg"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2021.08.019","article-title":"Proximal tibial bone loss in the first 2\u00a0years after unicondylar knee arthroplasty: anatomical pattern, predictors and clinical correlation","volume":"32","author":"Lee QJ","year":"2021","unstructured":"Lee QJ, Wong WY, Yau YL, Chang WY, Wong YC. Proximal tibial bone loss in the first 2\u00a0years after unicondylar knee arthroplasty: anatomical pattern, predictors and clinical correlation. Knee. 2021, 32:201-10. 10.1016\/j.knee.2021.08.019","journal-title":"Knee"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.1998.13.9.1458","article-title":"Bone loss, physical activity, and weight change in elderly women: the Dubbo Osteoporosis Epidemiology Study","volume":"13","author":"Nguyen TV","year":"1998","unstructured":"Nguyen TV, Sambrook PN, Eisman JA. Bone loss, physical activity, and weight change in elderly women: the Dubbo Osteoporosis Epidemiology Study. J Bone Miner Res. 1998, 13:1458-67. 10.1359\/jbmr.1998.13.9.1458","journal-title":"J Bone Miner Res"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjtee.2022.02.002","article-title":"Total knee arthroplasty with long tibial stem for tibial stress fractures with knee osteoarthritis: two birds with one stone","volume":"25","author":"Pai SN","year":"2022","unstructured":"Pai SN, Kumar MM, Vanchi PK, Ravi R, Kiswanth P. Total knee arthroplasty with long tibial stem for tibial stress fractures with knee osteoarthritis: two birds with one stone. Chin J Traumatol. 2022, 25:357-61. 10.1016\/j.cjtee.2022.02.002","journal-title":"Chin J Traumatol"},{"key":"ref17","article-title":"Management of periprosthetic fracture in unicompartmental knee arthroplasty patients: a case series","volume":"22","author":"Woo YL","year":"2013","unstructured":"Woo YL, Chin PL, Lo NN, Chia SL, Tay DKJ, Yeo SJ. Management of periprosthetic fracture in unicompartmental knee arthroplasty patients: a case series. Proc Singap Healthcare. 2013, 22:267-74.","journal-title":"Proc Singap Healthcare"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/442900-delayed-fracture-after-medial-unicompartmental-knee-replacement-two-cases-of-peri-implant-fracture","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T20:19:13Z","timestamp":1781900353000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/442900-delayed-fracture-after-medial-unicompartmental-knee-replacement-two-cases-of-peri-implant-fracture"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,19]]},"references-count":17,"URL":"https:\/\/doi.org\/10.7759\/cureus.111166","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6,19]]}}}