The incidence of periprosthetic tibia fractures is expected to increase although still
being rare. It is paramount to classify these fractures properly, based on level and loosening in
order to plan an adequate treatment in each case. Conservative treatment, fracture fixation and
prosthetic revision can be  performed depending on the fracture type. In case of fracture fixation,
locking plates, preferable polyaxial, can be a good option due to the limited bone stock in the proximal metaphysis hosting a prosthetic  component. Revision can result in relevant bone lose
that will need of adequate reconstruction. Navigation systems as well as unicompartmental knee
arthroplasty have been related to this complication.

The incidence of periprosthetic tibia fractures is expected to increase although still
being rare. It is paramount to classify these fractures properly, based on level and loosening in
order to plan an adequate treatment in each case. Conservative treatment, fracture fixation and
prosthetic revision can be  performed depending on the fracture type. In case of fracture fixation,
locking plates, preferable polyaxial, can be a good option due to the limited bone stock in the proximal metaphysis hosting a prosthetic  component. Revision can result in relevant bone lose
that will need of adequate reconstruction. Navigation systems as well as unicompartmental knee
arthroplasty have been related to this complication.