The joint surfaces at the top of your shin bone (tibia) and the end of your thigh bone (femur) are often replaced during total knee replacement procedures. The underside of your kneecap, or patella, may also need to be replaced with a smooth plastic dome during a total knee replacement. If at all possible, some surgeons choose to leave the patella naturally intact, although occasionally this choice must be made in the middle of the procedure. You won't be prevented from undergoing a knee replacement if you've already had a patellectomy, but it might influence the kind of prosthesis your surgeon chooses to use. Usually, the new components are cemented into place. In the event that cement is not utilized, the component's surface that faces the bone is coated or textured to promote bone growth and the formation of a natural bond.
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