The Future

  • Richard S. Laskin
  • Robin A. Denham
  • A. Graham Apley


I feel that the major advances in total knee replacement over the next 5 years will be in the area of implant fixation. Acrylic cement will continue to be used in those cases where there has been marked bony loss or severe osteoporosis. For the majority of patients, however, mechanical interlock supplemented by biological ingrowth will become the standard. The “substrate” for biological ingrowth will probably not be metallic but rather polymeric, with a modulus of elasticity close to that of the ingrowing bone.


High Density Polyethylene Total Knee Replacement Severe Osteoporosis Total Replacement Internal Derangement 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer-Verlag Berlin Heidelberg 1984

Authors and Affiliations

  • Richard S. Laskin
    • 1
    • 2
  • Robin A. Denham
    • 3
  • A. Graham Apley
    • 4
    • 5
  1. 1.Department of Orthopaedic SurgeryLong Island Jewish-Hillside Medical CenterNew YorkUSA
  2. 2.School of Medicine, Health Services CenterState University of New York at Stony BrookNew YorkUSA
  3. 3.Portsmouth Hospital GroupPortsmouthEngland
  4. 4.St. Thomas’ HospitalLondonEngland
  5. 5.Rowley Bristow Orthopaedic HospitalPyrford, LondonEngland

Personalised recommendations