Tjörnstrand B and L Lidgren:

Fracture of the knee endoprosthesis. Report of three cases of tibial component failure.

Acta Orthop Scand, 56(2): 124-6, 1985.

Three cases of total knee replacement, in which the polyethylene tibial component was fractured, are presented. Two were Attenborough prostheses and the third was a Townley prosthesis. In all cases there were radiographic signs of loosening before the fracture occurred. They were all successfully reoperated with an arthrodesis, using the long Kuntscher nail technique.
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