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How is an artificial knee held together?

Published in Knee Replacement 2 mins read

An artificial knee, or knee prosthesis, is held in place using either cemented or uncemented fixation techniques.

Types of Fixation:

Fixation Type Description
Cemented A fast-drying bone cement is used to adhere the knee prosthesis to the existing bone.
Uncemented The knee prosthesis is designed to fit snugly against the existing bone, allowing the bone to grow into the prosthesis for secure fixation.

Cemented Fixation

  • In cemented fixation, a special type of bone cement is applied to the surfaces of both the bone and the prosthesis.
  • The cement acts as an adhesive, creating a strong bond between the two components.
  • This method is often used in patients who have weaker bone, allowing immediate and secure fixation.
  • The cement cures quickly, allowing the patient to start physical rehabilitation sooner.

Uncemented Fixation

  • Uncemented fixation relies on the natural process of bone growth.
  • The prosthesis has a porous surface, which allows the surrounding bone tissue to grow into it.
  • This method provides a more natural bond and is suitable for patients with good bone quality.
  • Over time, the bone firmly anchors the prosthesis, ensuring its stability.
  • This type of fixation may take longer for full integration, which could result in a longer rehabilitation period.

In summary, whether the surgeon chooses a cemented or uncemented technique will depend on the individual patient's needs, the quality of their bone, and other factors. Both methods aim to create a stable and durable connection between the artificial knee and the patient's bone.

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