ENOVIS LIMA Physica Kinematic Cementless Total Knee Replacement

Preparations

Qualification for a cementless knee replacement always requires an individual orthopaedic assessment.

Before treatment, the patient undergoes a diagnostic process that may include:

• orthopaedic consultation,
• assessment of knee joint anatomy,
• evaluation of bone quality,
• review of imaging studies,
• analysis of the severity of joint degeneration,
• discussion of functional expectations and activity level.

The choice of implant type and fixation method is made individually, taking into account the patient’s anatomy, age, activity level, bone condition, and clinical needs.

The procedure may be considered in cases of:

• advanced osteoarthritis of the knee joint,
• chronic knee pain limiting everyday activities,
• significant cartilage damage,
• reduced knee joint mobility,
• deformities affecting lower limb biomechanics,
• unsuccessful conservative treatment,
• deterioration in quality of life associated with progressive knee degeneration.

Recovery after cementless knee replacement involves rehabilitation and the gradual restoration of knee joint function.

Early mobilisation and a properly guided rehabilitation programme play an important role in improving mobility, comfort, and overall treatment outcomes.

The rehabilitation plan is always tailored individually to each patient and may depend on:

• the patient’s clinical condition,
• the healing process,
• bone quality,
• functional progress,
• the extent of pre-operative joint damage,
• individual mobility goals.

Patients may also benefit from a dedicated 10% discount on rehabilitation at KCM Clinic, allowing treatment and recovery to continue in a coordinated and comprehensive manner.

Not every patient requires or qualifies for a cementless knee replacement.

A cementless solution may be considered mainly in patients with sufficient bone quality to support proper biological integration of the implant.

Important factors considered before surgery include:

• bone quality,
• knee joint anatomy,
• activity level,
• age,
• functional expectations,
• severity of degenerative changes,
• general orthopaedic condition.

Treatment outcomes depend on the individual clinical situation, the healing process, and the rehabilitation programme.

The final decision regarding the implant type and fixation method is always made after an orthopaedic consultation and analysis of diagnostic imaging.

In appropriately selected patients, the ENOVIS LIMA Physica Kinematic Cementless Knee Replacement may support:

• biological fixation of the implant to the bone,
• durable and stable implant fixation,
• more natural load distribution,
• smoother knee joint movement,
• improved comfort during everyday activities,
• a more natural feeling of movement,
• increased freedom of movement,
• improved quality of life.

The kinematic alignment philosophy aims to restore knee biomechanics as closely as possible to natural joint function, while cementless fixation promotes biological integration between the implant and bone.

What does the Physica Kinematic Cementless Knee Replacement involve?

Total knee replacement involves replacing damaged joint surfaces with a modern implant individually selected to match the patient’s anatomy and functional needs.

The ENOVIS LIMA Physica Kinematic system features a cementless fixation design, allowing the implant to gradually integrate with the patient’s bone through a biological process.

The goal of the system is to restore natural knee biomechanics and kinematics as closely as possible, supporting smooth and harmonious joint function after surgery.

What does cementless implant fixation mean?

Cementless implant fixation means that the knee implant is not fixed using bone cement.

Instead, implant stability is achieved through gradual biological integration between the implant surface and the patient’s bone.

This process may support natural implant-to-bone integration, long-term fixation stability, more physiological load transfer within the joint, and preservation of musculoskeletal function.

When is a cementless knee replacement considered?

A cementless knee replacement may be considered for patients with sufficient bone quality to support proper biological integration of the implant.

The choice of fixation method is always based on an individual assessment, including bone quality, knee joint anatomy, activity level, age, and functional expectations.

What are the potential advantages of a cementless knee replacement?

In appropriately selected patients, a cementless knee replacement may support biological implant fixation, durable stability, more natural load distribution, smoother knee movement, and improved comfort during everyday activities.

Treatment outcomes depend on the patient’s individual clinical situation, healing process, and rehabilitation programme.

What makes the ENOVIS LIMA Physica Kinematic system different?

The Physica Kinematic system has been designed to replicate natural knee movement as closely as possible.

Its design focuses on restoring natural joint biomechanics, preserving the patient’s individual movement pattern, providing precise anatomical fit, and using advanced implant technologies.

Can the knee function naturally after surgery?

One of the primary goals of modern knee replacement surgery is to restore joint function and biomechanics as closely as possible to those of a natural knee.

For many patients, this may mean a more natural feeling of movement, greater comfort during daily activities, smoother joint function, and increased freedom of movement.

Is every patient suitable for a cementless knee replacement?

No. Not every patient requires or qualifies for a cementless implant.

The choice of implant type and fixation method is determined individually during an orthopaedic consultation and based on the analysis of imaging studies, bone quality, knee anatomy, and functional needs.

What does recovery look like?

Recovery involves rehabilitation and the gradual restoration of knee function.

Early mobilisation and a properly guided rehabilitation programme play an important role in improving mobility, comfort, and overall treatment outcomes.

Patients may also benefit from a dedicated 10% discount on rehabilitation at KCM Clinic, allowing treatment and recovery to continue in a coordinated and comprehensive manner.

What are the indications for this procedure?

The ENOVIS LIMA Physica Kinematic cementless total knee replacement may be considered primarily for patients with advanced knee joint degeneration affecting walking comfort, daily activities, and overall quality of life.

The procedure may be considered in cases of advanced osteoarthritis, chronic knee pain, significant cartilage damage, reduced mobility, deformities affecting lower limb biomechanics, unsuccessful conservative treatment, and progressive deterioration in quality of life.