Asterio arthritis of the knee is a very common condition for which total knee replacement is done. A total hybrid knee replacement is a conventional knee replacement along with which when we are closing the soft tissue Platelet Rich Plasma and bone marrow cells are injected into the soft tissue and in the ligaments which are not replaced during the total knee replacement. This helps in early recovery and better stability of the ligaments in which knee cells are injected, so with the total hybrid knee replacement use of conventional implants, and the patient own healing cells helps get much better faster results