Summary
Influence of design for long-term performance in total knee arthroplasty is discussed. Factors affecting the results were prevention of aseptic loosening and antiwear design; therefore, tibiofemoral surface geometry should be designed as “double dish” or “spherical” shape. When using this geometry without cement, secure initial fixation should be required. Anti-wear design and range of motion present a dilemma, but a retention of posterior cruciate ligament and the design of posterior femoral condyles with short height and small radius could present an alternative solution. Conventional dome shape, avoiding metal backing, will be a standard for the patella.
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© 1999 Springer-Verlag Tokyo
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Hoshino, A. (1999). Biomechanical Aspects of Knee Implant Design. In: Imura, S., Wada, M., Omori, H. (eds) Joint Arthroplasty. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68529-6_30
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DOI: https://doi.org/10.1007/978-4-431-68529-6_30
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68531-9
Online ISBN: 978-4-431-68529-6
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