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What Are Artificial Knees

The knee is the largest joint in the body. The knee is made up of the:

  • Femur (lower end of the thighbone).
  • Tibia (shin bone). The femur rotates on the upper end of the tibia.
  • Patella (knee cap), which slides in a groove on the end of the femur.
  • Large ligaments, which attach to the femur and tibia to provide stability.
  • The long thigh muscles, which give the knee strength.

The surfaces where these three bones meet are covered with articular cartilage. This smooth substance cushions the bones and permits them to move easily. All remaining surfaces of the knee are covered by a smooth tissue liner called the synovial membrane. This membrane releases a special fluid that lubricates the knee. The fluid greatly reduces friction.

Normally, all of these components work in harmony. But disease or injury can disrupt this harmony. The result can be pain, muscle weakness, and reduced function.

  What is an artificial Knee?  

Each artificial knee (like those manufactured by Zimmer) is made up of three main parts:

  • The tibial component (bottom portion) is made up of a metal and plastic material. It replaces the top surface of the tibia (shin bone). This component is usually made of two parts: a metal tray attached directly to the bone, and a plastic spacer that provides the slick surface.
  • The femoral component (top portion), which is usually made of cobalt, chrome or titanium. It replaces the bottom surface of the femur (upper bone) and the groove in which the knee cap fits.
  • The patellar component (kneecap portion) is made of plastic. It replaces the surface of the patella where it glides in the groove on the femur.

Materials used for resurfacing of the joint are strong and durable. They produce as little friction as possible. But an artificial knee is not as good as a normal knee. The main long-term problem for artificial knee recipients is loosening, which occurs because the cement crumbles or the bone melts away from the cement. These problems may require repeat knee replacement surgery.

For recipients of a Zimmer NexGen CR-Flex knee, this "long term" problem can occur early. In some cases, loosening occurs after just a year. This early loosening in NexGen CR-Flex knees seems to be occurring at an unusually high rate.

Source:
http://orthoinfo.aaos.org/topic.cfm?topic=A00389
http://www.medterms.com/script/main/art.asp?articlekey=10435
http://www.eorthopod.com/content/revision-arthroplasty-knee
http://www.oralchelation.com/calcium/DegenerativeKneeJoint/p12.htm

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  Links to Relevant Pages  
  Zimmer Knee Failures  
  Anatomy of a Knee Failure  
  Revision Surgery  
  NexGen Lawsuit  
  How We Can Help  
  Zimmer NexGen Lawsuit News  

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  Disclaimer  
There has not been a recall of the Zimmer NexGen CR Flex knee implant. Consumers should read the studies and information on this topic and educate themselves on these matters. This website is not meant to convey medical advice. If you have specific questions about your knee implant or any medical condition you may have, please see your doctor.
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