The Application of Polyether Ether Ketone (PEEK) Implants in Knee Surgery

Abstract:

Background: Knee joint replacement surgery is a widely used procedure for managing severe knee osteoarthritis, rheumatoid arthritis, and traumatic arthritis. The selection of implant materials plays a crucial role in the long-term success of the procedure, influencing biomechanical stability, biocompatibility, and wear resistance. Polyether ether ketone (PEEK), a high-performance thermoplastic polymer, has recently gained attention as a potential alternative to conventional metal and polymer implants due to its closer elastic modulus to human bone, excellent biocompatibility, and radiolucency. However, the intrinsic bio-inertness and wear resistance limitations of PEEK have raised concerns regarding its early osseointegration and long-term durability. Methods: To overcome these challenges, researchers have explored various modifications, including bioactive coatings, composite reinforcement, and porous structuring, to enhance it clinical performance. This review evaluates the current applications of PEEK in knee surgery, comparing its properties with commonly used materials such as ultra-high-molecular-weight polyethylene (UHMWPE), cobalt-chromium (CoCr), and titanium. Results: We analyze its role in procedures such as high tibial osteotomy (HTO) and anterior cruciate ligament reconstruction (ACLR). While PEEK demonstrates promising mechanical and biological advantages, further studies on long-term performance, wear behavior, and improved osseointegration techniques are essential to determine its suitability as a standard implant material in knee surgery. Conclusions: PEEK has the potential to serve as an alternative implant material for knee joint replacement due to its biomechanical compatibility and favorable biological properties. However, addressing its bio-inertness and wear resistance limitations through material modifications remains a key area for future research.

• Periodical: Journal of Biomimetics, Biomaterials and Biomedical Engineering (Volume 72)
• Pages: 65-76
• DOI: https://doi.org/10.4028/p-RNRb9r
• Online since: May 2026
• Authors: Yaocong Fan, Li Fan*
• Keywords: Biocompatibility, Biomechanics, Knee Surgery, Orthopedic Implants, PEEK

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