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JOURNEY◊ II for Total Knee Replacement

JOURNEY◊ II Total Knee Arthroplasty (TKA) is an implant system for total knee replacement. It’s designed to relieve pain and restore function in your joint.

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Overview

JOURNEY II Total Knee Arthroplasty (TKA) is a knee implant system designed to relieve pain and restore function in your joint. Its unique design has been shown to provide a smoother recovery, improved function, and higher patient satisfaction when compared to other implant systems.1-7* Also, it’s available with our award-winning8 implant material, OXINIUM◊ Technology.

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What is JOURNEY II TKA?

We developed the JOURNEY II TKA system using human simulation software to recreate the shapes, positions, and motion of the natural knee.9-12 The result is a uniquely designed knee that helps you regain normal muscle movement.13

The JOURNEY II TKA system is available with OXINIUM Technology, our award-winning8 metal alloy made of oxidized zirconium. We engineered the material for strength and durability, and to provide patients with a long-lasting implant.14-20 Talk to your surgeon to learn more about the importance of materials in your knee implant.

JOURNEY II XR Matisse

Is JOURNEY II TKA right for me?

To find out if JOURNEY II TKA is a treatment option, make an appointment with an orthopaedic surgeon. The surgeon will examine your knee and review your health situation in determining if knee replacement is recommended. Here are other things to know:

Learn more about the procedure and recovery process.

Explore Total Knee Replacement
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What are the benefits of JOURNEY II TKA?

JOURNEY II TKA offers:

What are the risks involved?

All surgery has risks and the potential for complications. Talk to your surgeon about any concerns you may have before you decide on treatment. Some of the possible risks and complications for knee replacement include:

  • Blood clotting
    Blood clotting problems – such as deep vein thrombosis (DVT) or pulmonary embolism (PE) – may occur after surgery and interrupt normal blood flow. Your medical team may recommend medications and exercises to reduce the risk.


  • Infection
    Infection may occur at the surgical site or elsewhere in the body. If a serious infection occurs, additional surgery or removal of the implant may be needed.


  • Pneumonia
    After surgery, pneumonia or other breathing problems may develop. Your medical team may recommend measures to reduce the risk.


  • Nerve problems
    Nerves or blood vessels in the knee area may be damaged during surgery.


  • Long-term pain and stiffness in the knee
    Most patients experience pain relief after knee replacement, but some may continue to have pain. Similarly, some patients may develop joint stiffness. Following the recovery guidelines provided by your medical team may help reduce this risk.


  • Implant wear or failure
    The knee implant may become worn, loose, or damaged. It may not perform as expected. In some cases, another surgery may be needed to correct or replace the implant.


    • This is not a complete list of risks. In some cases, you may need additional surgery to address a complication. Talk to your surgeon about the possible risks for your specific health situation.



Disclaimers

All information provided on this website is for informational purposes only and is not meant as medical advice. Not everyone is a candidate for the JOURNEY II TKA total knee replacement, and individual results of joint replacement will vary. Implants are intended to relieve knee pain and improve function but may not produce the same feel or function as your original knee. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Potential risks include loosening, wear, and infection that may result in the need for additional surgery. Discuss your implant options with your surgeon. Please discuss nutrition, medication, and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency, please call 911 and seek emergency help.

◊ Trademark of Smith+Nephew. 40707 10/2023

Citations

*Compared to non-JOURNEY II knees; based on BCS evidence.

1.Mayman DJ, Patel AR, Carroll KM. Hospital Related Clinical and Economic Outcomes of a Bicruciate Knee System in Total Knee Arthroplasty Patients. Poster presented at: ISPOR Symposium;19-23 May, 2018; Baltimore, Maryland, USA.

2.Nodzo SR, Carroll KM, Mayman DJ. The Bicruciate Substituting Knee Design and Initial Experience. Techniques in Orthopaedics. 2018;33(1):37-41.

3.Murakami K, Hamai S, Okazaki K, et al. In vivo kinematics of gait in posterior-stabilized and bicruciate-stabilized total knee arthroplasties using image-matching techniques. Int Orthop. 2018;42(11):2573-2581.

4.Di Benedetto P, Vidi D, Colombo A, Buttrioni MM et al. Pre-operative and post-operative kinematic analysis in total knee arthoplasty. A pilot study. Acta Biomed 2019; Vol. 90, Supplement 12: 91-97.

5.Kosse NM, Heesterbeek PJC, Defoort KC, Wymenga AB, Hellemondt GG. Minor adaptations in implant design bicruciate-substituted total knee system improve maximal flexion. Poster presented at: 2nd World Arthroplasty Congress;19-21 April, 2018; Rome, Italy.

6.Takubo A, Ryu K, Iriuchishima T, Tokuhashi Y. Comparison of Muscle Recovery Following Bi-cruciate Substituting versus Posterior Stabilized Total Knee Arthroplasty in the Asian Population. J Knee Surg. 2017;30(7):725-729.

7.Noble P.C, Scuderi G.R, Brekke A.C, et al. Development of a New Knee Society Scoring System. Clin Orthop Relat Res 2012;470(1):20-32.

8.2005 ASM International Engineering Materials Achievement Award.

9.Grieco TF, Sharma A, Dessinger GM, Cates HE, Komistek RD. In Vivo Kinematic Comparison of a Bicruciate Stabilized Total Knee Arthroplasty and the Normal Knee Using Fluoroscopy. J Arthroplasty. 2018;33(2):565-571.

10.Smith LA, Nachtrab J, LaCour M, et al. In Vivo Knee Kinematics: How Important Are the Roles of Femoral Geometry and the Cruciate Ligaments? J Arthroplasty. 2021;36:1445-1454.

11.Iriuchishima T, Ryu K. A Comparision of Rollback Ratio between Bicruciate Substituting Total Knee Arthroplasty and Oxford Unicompartmental Knee Arthroplasty. J Knee Surg. 2018;31(6):568-572.

12.Murakami K, Hamai S, Okazaki K, et al. Knee kinematics in bi-cruciate stabilized total knee arthroplasty during squatting and stair-climbing activities. J Orthop. 2018;15(2):650-654.

13.Hyodo K, Kanamori A, Kadone H, Takahashi T, Kajiwara M, Yamazaki M. Gait Analysis Comparing Kinematic, Kinetic, and Muscle Activation Data of Modern and Conventional Total Knee Arthroplasty. Arthroplast Today. 2020;6(3):338-342.

14.Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) 2022. Hip, Knee & Shoulder Arthroplasty Annual Report.

15.Sheth NP, Lementowski P, Hunter G, Garino JP. Clinical applications of oxidized zirconium. J Surg Orthop Adv. 2008;17(1):17-26.

16.Long M, Riester L, Hunter G. Nano-hardness Measurements of Oxidized Zr-2.5Nb and Various Orthopaedic Materials. 24th Annual Meeting of the Society for Biomaterials. April 22-26, 1998.

17.Lee JK, Maruthainar K, Wardle N, Haddad F, Blunn GW. Increased force simulator wear testing of a zirconium oxide total knee arthroplasty. Knee. 2009;16(4):269-274.

18.Papannagari R, Hines G, Sprague J. Long-term Wear Performance of an Advanced Bearing Technology for TKA. Poster presented at: ORS 2011 Annual Meeting.

19.Civinini R, Carulli C, Matassi F, Lepri AC, Sirleo L, Innocenti M. The Survival of Total Knee Arthroplasty: Current Data from Registries on Tribology: Review Article. HSS J. 2017 Feb;13(1):28-31.

20.Davis E, Pagkalos J, Kopjar B. Effect of Bearing Surface on Survival of Cementless and Hybrid Total Hip Arthroplasty: Study of Data in the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man. JB JS Open Access. 2020;5(2):e0075.

21.American Academy of Orthopaedic Surgeons website. Accessed May 8, 2023. https://orthoinfo.aaos.org/en/treatment/total-knee-replacement

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