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The author explores the principal structures and functions of the knee joint, followed by the history of total knee arthroplasty and its development to present day. The report also looks into the tribology of the knee joint, where the effects of wear-and-tear associated from every day activity, may lead to the failure of the knee joint. Surgical implantation of a knee prosthesis is discussed along with the biomechanics of the knee joint. A case analysis on a person, showing how foot wear can alter the structure of the knee and influence the leg structure, will also be presented.