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JOURNEY II BCS

Bi-Cruciate Stabilized Knee System

Algemeen

The JOURNEY II Bi-Cruciate Stabilized knee system has been intricately designed, engineered and tested to facilitate near-normal kinematics;1,2 shown to enhance patient satisfaction and significantly improve patient-reported Knee Society Scores (KSS).3,4

Using physiological matching technology, JOURNEY II BCS has demonstrated pronounced femoral rollback upon flexion and improved mid-flexion medio-lateral stability.5

Rediscover normal

Over 90% of patients return to work within 6 months of surgery.6

23% more flexion than posterior-stabilized TKA after 1 year.3

Evidence demonstrated major revisions of around 1% at 6 years.7

 

Featuring VERILAST technology, with OXINIUM (oxidized zirconium) and highly cross-linked polyethylene (XLPE), for improved wear performance.8 


Stability

Near-complete elimination of paradoxical motion and anterior sliding of the femur during flexion.9-16

Strength

Designed to restore anatomic alignment and normal knee kinematic patterns throughout the full range of motion.12-16

Satisfaction

 Designed to restore normal kinematics throughout the range of motion and help patients return to normal activities and lifestyle.17,18


 

Watch: JOURNEY II TKA - A Kinematic Review

The power of robotics assistance

Learn more about NAVIO’s hand held robotics technology NAVIO Handheld Robotics demonstrated that optimal implant planning can replicate the joint line and achieve a balanced range of motion in cruciate-retaining knee arthroplasty, based on individual patient needs.19

Find out more

References

  1. 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
  2. Iriuchishima T, Ryu K. A comparison of Rollback Ratio between Bicruciate Substituting Total Knee Arthroplasty and Oxford Unicompartmental Knee Arthroplasty. J Knee Surg. 2018;31(6):568-572.
  3. Nodzo SR, Carroll KM, Mayman DJ. The Bicruciate Substituting Knee Design and Initial Experience. Tech Orthop. 2018;33:37-41.
  4. Noble PC, Gordon MJ, Weiss JM, Reddix RN, Conditt MA, Mathis KB. Does total knee replacement restore normal knee function? Clin Orthop Relat Res. 2005;431:157-165.
  5. Verstraete MA, Van Onsem S, Van Eenoo W, et al. Posterior stabilized total knee kinematics: how anatomic do we get today? –an in vivo comparative study considering three different implants. Poster presented at: 2nd World Arthroplasty Congress; 19-21 April, 2018; Rome, Italy.
  6. Harris AI, Luo TD, Lang JE, Kopjar B. Short-term safety and effectiveness of a second-generation motion-guided total knee system. Arthroplasty Today. 2018;4(2):240-243.
  7. Harris AI, Luo TD, Lang JE, Kopjar B. Performance of second-generation guided motion total knee arthroplasty system: Results from the international multicenter study of over 2,000 primary TKA with up to 6 Years follow-up. Poster presented at AAHKS Annual Meeting. November 1-4 2018. Dallas Texas, USA.
  8. Papannagari R, Hines G, Sprague J, Morrison M. Long-term wear performance of an advanced bearing knee technology. Abstract presented at: ISTA, Dubai, UAE, Oct 6-9, 2010.
  9. Victor J, Mueller JKP, Komistek RD, et al. In Vivo Kinematics after a Cruciate-Substituting TKA. Clin Orthop Relat Res. 2010;468:807-814.
  10. Zingde SM, Mueller JPK, Komistek RD, Mac Naughton JM, Anderle MR, Mahfouz MR. In Vivo Comparison of TKA Kinematics for Subjects with a PS, PCR or Bi-Cruciate Stabilizing Design. Poster presented at: Orthop Res Soc, Las Vegas, NV, Feb 22-25. 2009, Poster No. 2067.
  11. Ward TR, Burns AW, Gillespie MJ, Scarvell JM, Smith PN. Bicruciate-stabilised total knee replacements produce more normal sagittal plane kinematics than posterior-stabilised designs. J Bone Joint Surg Br. 2011;93-B:907-913.
  12. Catani F, Ensini A, Belvedere C, et al. In Vivo Kinematics and Kinetics of a Bi-Cruciate Substituting Total Knee Arthroplasty: A Combined Fluoroscopic and Gait Analysis Study. J Orthop Res. 2009;27(12):1569-1575.
  13. Morra EA, Rosca M, Greenwald JFI, Greenwald AS. The Influence of Contemporary Knee Design on High Flexion: A Kinematic Comparison with the Normal Knee. J Bone Joint Surg Am. 2008;90:195-201.
  14. Catani F, Innocenti B, Belvedere C, et al. The Mark Coventry Award Articular: Contact Estimation in TKA Using In Vivo Kinematics and Finite Element Analysis. Clin Orthop Relat Res. 2010;468(1):19-28.
  15. Van Duren BH, Pandit H, Price M, T et al. Bicruciate substituting total knee replacement: how effective are the added kinematic constraints in vivo? Knee Surg Sports Traumatol Arthrosc. 2012;20(10):2002-2010.
  16. Arbuthnot JE, Brink RB. Assessment of the antero-posterior and rotational stability of the anterior cruciate ligament analogue in a guided motion bi-cruciate stabilized total knee arthroplasty. J Med Eng Technol. 2009;33(8):610-615.
  17. 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;42:2573-2581.
  18. 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;15:650-654.
  19. Jaramaz B, Mitra R, Rovinsky D, Neginhal V. A Novel Image-Free Handheld Robot For Bi-Cruciate Retaining Knee Arthroplasty. Poster presented at 19th EFORT Annual Congress. May 30- June 1, 2018. Barcelona, Spain.

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