Finite element simulations show that a sliding, low-friction stem-bone interface makes the tibial plate carry most of the axial knee load, largely preventing post-surgery stress shielding even with stiff metal implants.
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Tibial Implant Fixation in TKA Worth A Revision? -- How to Avoid Stress-Shielding Even for Stiff Metallic Implants
Finite element simulations show that a sliding, low-friction stem-bone interface makes the tibial plate carry most of the axial knee load, largely preventing post-surgery stress shielding even with stiff metal implants.