What is the MISHA knee system? [Text on screen: The Ohio State University Wexner Medical Center What is the MISHA knee system?] [Music playing] [Text on screen: David Flanigan, MD Orthopedic Surgeon Ohio State Wexner Medical Center] David Flanigan, MD: The MISHA knee system stands for the Medial Implantable Shock Absorber. It's really a revolutionary implant for people who have mild to moderate osteoarthritic changes in the medial compartment of the knee. So as you can see here, it's a plate that's attached to the femur and a plate that is attached to the tibia and in between has a shock absorber, very similar to what you see in a car. And as you are weight-bearing, what happens is that this takes about 30 to 40 pounds of pressure off of your medial compartment of the knee. It doesn't do anything while you're sitting, but while you're active and while you're walking, it actually takes a lot of pressure off that inside portion of the knee. [Text on screen: The Ohio State University Wexner Medical Center For more information, visit: wexnermedical.osu.edu/knee] [Music fades]