Past, Present and Future of TKA: An Expert Opinion or Point of View

Abstract

Total Knee Arthroplasty (TKA) has come a long way from the 
first resection arthroplasty performed by Ferguson in 1861 to 
the cutting-edge technology utilized today. From removing bone 
to improve function, to interposition arthroplasty in 1863, and 
introducing an ivory hinged prosthesis fixed with Plaster of Paris in 
1891, it has indeed been a chequered journey. The mid-20th century 
saw the introduction of the metallic mold hemiarthroplasties fitted 
to femoral condyles and hinged prosthesis made initially of acrylic 
and then cobalt–chromium, which were used till the late 1960s. 
Their high failure rate was on account of large bony resections 
and lack of sound kinematics.