High-performance total knee replacement

The concept of a high-performance total knee replacement has gained prominence because of continued technological improvements by implant manufacturers and the changing expectations of an increasingly younger, more active patient population. Improvements in surgical technique, instrumentation, implant design, biomaterials, and implant fixation have occurred in recent years. The literature is inconclusive whether novel approaches can lead to improvements in patient satisfaction rates, address objectively measured parameters, and improve implant survival rates, while doing so in a cost-efficient manner.