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Single Peg Patellar Component Fracture in Total Knee Replacement: A Case Report.
Jonathan T Moshe1, Bailey A Lillis1, Gregory T Minutillo1
1Orthopedic Associates of Long Island, East Setauket, New York.
Journal of Orthopaedic Case Reports
|March 12, 2026
Summary
This case report details a rare complication following total knee arthroplasty (TKA): a shear fracture of a press-fit patellar component. This novel failure mode highlights potential issues in cementless TKA procedures.
Area of Science:
- Orthopedic Surgery
- Biomaterials Engineering
- Medical Device Failure Analysis
Background:
- Total knee arthroplasty (TKA) is a common procedure for advanced knee osteoarthritis.
- Failure mechanisms of TKA components are well-documented, but novel complications continue to emerge.
- Cementless TKA utilizes press-fit components, relying on biological fixation.

