Machining knee implants
Knee implants are typically made from high-grade materials like cobalt-chromium alloys, titanium, or polyethylene (for the plastic components).
The implant starts as a rough piece of material shaped through computer-aided machining (CNC milling).
This step produces the basic shape of the implant, including the contours and features that must fit precisely into the knee joint.
Finishing the surfaces of the implant
Once the initial shape is created, the implant undergoes polishing to ensure a smooth surface, particularly for the metal components.
Polishing is essential to reduce friction between the moving parts of the implant and the natural tissues of the body, reducing pain issues. Processes :
- Mechanical polishing uses abrasive tools to smooth out the surface.
- Electropolishing removes a thin metal layer to create an ultra-smooth finish and improve corrosion resistance.
A smooth, polished surface prevents implant wear and extends its longevity.
Surface coating of the implant
Depending on the type of implant, surface coatings may be applied to improve the performance and longevity of the knee surgery replacement. Common coatings include:
- Porous coatings allow the bone to grow into the implant, promoting better fixation and stability.
- Hydroxyapatite (HA) coatings mimic natural bone and promote bone growth around the implant, often used for cementless implants.
- Polymers (for plastic parts): Ultra-high molecular weight polyethylene (UHMWPE) is the most common material for the tibial insert (the plastic spacer between the metal components).