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The knowledge of the biological and mechanical factors which have an influnce in non cemented knee prosthesis' survival and the complexity of the biomechanical (kinematic) demands to which are summitted the different non cemented prosthesis, show the importance of a "natural" solution specially in the field of the substitition of the interposition fibrocartilague structures, such as the meniscus. In the same way it is important to study the behaviourof the different revetment surfaces (Titanium, chrom-cobalt etc..) Lastly, a solid fixation of the implant demands a quality bone, that, in its case, will have come from an autograft.

Prosthetic fixation in cementless total knee arthoplasty. Influence of techniques, prosthetic design and bone graft enhacement