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Nearly 500, 000 joint replacement procedures are performed annually with the intention to remove damaged tissue and restore normal joint activity to patients suffering from osteoarthritis. Current methods of joint fixation are limited to two methods: the use of bone cement to stabilize the orthopaedic implant in the bone and the use of osseointegration to encourage bone to integrate into the implant surface. Osseointegrative surfaces have lower rates of revision surgery, making it an ideal fixation method for younger patients However, current osseointegrative technologies have yet to replacebone cement as a fixation method in total knee arthroplasty, highlighting the need for improved surface designs to compensate for the unique
mechanics in the knee.