Freedom® Titan Knee System

Reduced Risk of Sensitivities and Allergic Reactions

The Freedom Titan Knee System is part of our Freedom Knee Solutions, designed using advanced engineering technologies and clinical experience. We developed it with a titanium niobium nitride (TiNbN) coating to block the release of cobalt (Co) and chromium (Cr) ions implicated in poor patient reactions to implants.

The Titan Knee is one more option we developed to allow surgeons to choose the best products for individual patients and to improve outcomes after primary total knee arthroplasty.

Overview

Maxx Orthopedics is dedicated to developing and manufacturing innovative joint replacement products that help surgeons address a variety of patient needs while also providing them with the best outcomes.

This is why we created the Freedom Titan Knee System to reduce the risk of sensitivities and allergic reactions in patients undergoing total knee arthroplasty.

The Titan is an addition to our family of Freedom Knee Solutions using advanced design engineering technologies and clinical experience to create the best products. They allow surgeons to choose from unique component options that will work best for their patients needing primary total knee arthroplasty.

The Problem of Knee Replacement Metal Allergy and Sensitivity

Although knee replacement is now a routine and generally safe orthopedic surgery, studies show that at least 20% of these procedures result in less-than-satisfactory outcomes for the patient.1

Research shows metal hypersensitivity is an important cause of poor outcomes in knee replacement patients. While true allergies are rare, hypersensitivity to the metals in artificial joints can cause symptoms and ultimately failure.

While poor reactions to joint replacement product materials necessitate screening patients with known metal sensitivities, we also believe the solution can be found in the product itself.

Changing the Coating on Orthopedic Implants To Improve Outcomes

Screening patients is important, but there is another approach to reducing sensitivity and allergic reactions to implants: changing the product.

We developed the Maxx Ortho Freedom Titan Knee System with a titanium niobium nitride (TiNbN) coating known to block the release of cobalt (Co) and chromium (Cr) ions often implicated in poor patient reactions to implants.

These are several of the important characteristics of the Freedom Titan Knee’s TiNbN coating:

  • Research has found that the coating has outstanding biocompatibility.2
  • Our coating is four times harder than conventional CoCr alloys.
  • The Freedom Titan™ Knee has a low friction coefficient with ultra-high molecular weight polyethylene articulation.
  • The TiNbN coating strongly resists scratching by third-body particulates.
  • Our joint system has higher synovial fluid wettability.

These factors make the Freedom Titan Knee System and its innovative coating different. Here’s why it matters:

  • The TiNbN coating reduces the release of Co and Cr ions into the joint space.
  • It reduces the incidence of metal ion sensitivities and allergies.
  • Our coating provides long-term stability and extreme adhesive strength to the substrate material.
  • The innovative coating is available in both the PS and CR primary systems.

Our Freedom Titan Knee retains the same advanced design and engineering as our original Freedom Primary Knee system. The multi-radius kinematics, bone-conserving features, and high flexion have consistently provided successful, reproducible patient results.3 Now, the system protects against metal allergies and sensitivities.

Contact us to learn more about the Freedom Titan Knee System and our other implants that consistently provide excellent patient outcomes.

Documents References
  1. Saccomanno et al. (2019). Allergy in Total Knee Replacement Surgery: Is it a Real Problem? World Journal of Orthopedics. 10(2), 63-70.
  2. Serro et al. (2009). A Comparative Study of Titanium Nitrides, TiN, TiNbN and TiCN, as Coatings for Biomedical Applications. Surface and Coatings Technology. 203(24), 3701-3707.
  3. Durbhakula et al. (2019). Restoration of Femoral Condylar Anatomy for Achieving Optimum Functional Expectations: Continuation of an Earlier Study at 5-Year Minimum Follow-Up. Reconstructive Review. 9(1), 17-22.

Get the App, Master the O.R.

Access a rich library of instructive videos, detailed manuals, and impactful case studies made for surgeons! Explore system overviews for the Freedom Knee and Libertas Hip.

Download
the App Today!

 

© 2025 Maxx Orthopedics, Inc. All rights reserved.