The authors report the failure of a Total Condylar III (Cintor, Johnso
n and Johnson, Raynham, MA) knee arthroplasty, implanted in a second r
evision knee surgery, due to fracture of the tibial spine. The tibial
component was in varus position and externally rotated relative to the
tibia. This imparted torque and resulted in a spiral fracture of the
polyethylene spine. This is the first report of failure of a Total Con
dylar III prosthesis by mechanical breakage.