Knee arthroplasty today

摘要

With the change of style of life, increase of activity level and mean age of population we have in the last decade contributed to an impressive improvement in procedures of Total Knee Replacement (TKR) and today this is the most expanding arthroplasty procedure, with an increasing number, twice that for Hip replacement; in The U.S from 1997 to 2004 the number of implants has grown by 83 % in patients from 45 to 64 years of age.Since my first introduction to TKR during a short fellowship with John Insall at the Hospital for Special Surgery in 1984 the procedure itself has gone through dramatic changes both in surgical technique and in design and mechanics of the components, but despite its enormous success it remains among the most debated and controversial topics between ~ dedicated surgeons and there are many issues, with pros and cons that are constantly investigated.