If you’ve been in total knee replacement (TKR) long enough, you’ve seen the look: the patient walks in post-op, the X-rays look beautiful, alignment is textbook…and yet they’re still not happy. The dirty secret of traditional TKA is that up to 20% of patients remain dissatisfied — thanks to overhang, overstuffing, ligament imbalance, or the classic “my knee just doesn’t feel right.”
Enter the era of custom-made implants (CMI) — where the prosthesis is designed for that knee, not some averaged ideal. A new prospective study in Knee Surgery, Sports Traumatology, Arthroscopy suggests this bespoke approach may finally deliver what standard TKA too often fails to: patient satisfaction north of 90%.
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