The Future

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

Abstract

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.

Keywords

Arthritis Osteoporosis Polyethylene Brittle Degenerative Arthritis 

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

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