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Total Knee Replacement (TKR) is an operation where the worn ends of the bones that make

up the knee joint are resurfaced with metal and plastic implants Surgeons have many

options to choose from Not only do several manufactures make different brands of knee

replacements but within each brand are different types Example in a PCL sacrificing knee

replacement the PCL (posterior cruciate ligament) in the knee is removed and its function is

replaced by the special geometry of the implant

There are also a group of implants known as mobile bearing or rotating platform where one

of the components (the tibial insert) actually moves or rotates relative to the metal tibial

implant affixed to the tibia (shin bone) Given the myriad of implants available it is natural to

ask Which total knee replacement is best Unfortunately the answer to that question is not

straightforward While each manufacture will tout the benefits of their particular design long-

term follow-up of most contemporary implants yields similar results

In reality it is probably more important for perspective patients to seek out a good

experienced surgeon rather than a particular product This is because factors such as proper

alignment of the implant components and restoration of appropriate soft tissue tension

(things which the surgeon directly controls) are more likely to influence the outcome of a total

knee replacement than the particular brand of implant Experience is important because the

technique of total knee replacement is rather involved The surgeon must utilize a series of

complex instruments to perform the operation

Often these instruments are implant specific so surgeons will usually become loyal to a

single brand allowing them to develop familiarity and expertise with a particular system A

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While songs composed using indigenous instruments are still enjoyed by a large group

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top songs because of the varied genres of music popular in the country Do you frequently

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