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© 2019 The Authors.Modular stem extensions have grown to be ubiquitous in revision total knee arthroplasty systems. Although stem extensions tend to be important in handling bone tissue inadequacies and improving implant fixation, the stem extension-condylar screen could be a spot of implant failure. We report an instance of failure during the femoral stem extension-condylar interface in a Zimmer NexGen Rotating Hinge Knee (Zimmer, Warsaw, IN). Presently, several published case reports ex