The invention presents a total knee arthroplasty endoprosthesis having: a)
a femoral component with a lower-radius lateral condyle, a larger-radius
medial condyle and between them, a third condyle located posteriorly,
superiorly and nearest the medial side, b) a tibial component with a
central protruding spigot for the rotating polyethylene insert, and c) a
rotating polyethylene insert, with three cavities for articulation of the
femoral condyles. For initial and moderate flexion the joint functions
with load bearing onto the lateral and medial articular cavities, and in
advanced and final flexion with load bearing on the third articular
cavity. The advantages of this endoprosthesis are enhanced maximum
flexion, improved femoral axis alignment, significant posterior
stabilization, favourable accommodation of tibial rotation with
consequent relief of materials and fixations, and preservation of more
articular fluid for lubrication and reduction of polyethylene wear.