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[Music] thank you hi Im Dr Matt NATO and this video is an overview of total knee replacement if we were to rename total knee replacement these days Id call it knee resurfacing were not really chopping out the whole knee and gluing in some sort of hinge thats sort of ancient technology at this point a total knee replacement in the modern sense is more of a resurfacing we shave off the outside a few millimeters of bone on the top and bottom of the joint and we replace that with metal and plastic parts you keep your own ligaments you keep your own kneecap these things are important for the function of our knee a modern knee replacement if done well may last 30 years maybe more some patients have had their knee replacement done in the 90s are still very happy with that and some of them are needing to be redone typically the top component or the femoral component is made of cobalt and chromium sometimes these can be made of ceramic the bottom component is typically a type of titanium th