Learning from the past to innovate for the future

Bi-cruciate retaining (BCR) knees have been designed since the very early days of orthopaedics. Even in those early days, surgeons and manufacturers recognised the importance of ACL function to kinematics, proprioception and stability.

The JOURNEY II XR System is designed with the knowledge and learnings of past BCR knee designs, while improving upon early concepts through the principles of anatomic knee design,1-5 improved instrumentation and technique, and advanced bearing materials.

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Disclaimer

*Compared to non-JOURNEY II knees.

This design rationale is for informational and educational purposes only. It is not intended to serve as medical advice. It is the responsibility of treating physicians to determine and utilise the appropriate products and techniques according to their own clinical judgment for each of their patients.

For detailed product information, including indications for use, contraindications, effects, precautions and warnings, please consult the product’s Instructions for Use (IFU) prior to use.

Citations
  1. Iriuchishima T, et al. J Knee Surg. 2018;31(6):568-572.
  2. Murakami K, et al. J Orthop. 2018;15(2):650-654.
  3. Carpenter RD, et al. Knee. 2009;16(5):332-336.
  4. Grieco TF, et al. J Arthroplasty. 2018;33(2):565-571.
  5. Smith LA, et al. J Arthroplasty. 2021;36:1445-1454.
  6. Murakami K, et al. Int Orthop. 2018;42(11):2573-2581.
  7. Noble PC, et al. Clin Orthop Relat Res. 2005;431:157–165.
  8. Nodzo SR, et al. Techniques in Orthopaedics. 2018;33(1):37-41.
  9. Takubo A, et al. J Knee Surg. 2017;30(7):725-729.
  10. Mayman DJ, et al. Poster presented at: ISPOR Symposium;19-23 May, 2018; Baltimore, Maryland, USA.
  11. Kosse NM, et al. Poster presented at: 2nd World Arthroplasty Congress;19-21 April, 2018; Rome, Italy.
  12. Kaneko T, et al. J Orthop. 2017;14(1):201-206.
  13. Brilhault J, et al. Knee. 2010;17(2):148-151.
  14. Catani F, et al. J Orthop Res. 2009;27(12):1569-1575.
  15. Pritchett JW. J Arthroplasty. 2011;26(2):224-228.
  16. Simon JC, et al. J Arthroplasty. 2018;33(9):2884-2889.
  17. Hyodo K, et al. Arthroplast Today. 2020;6(3):338-342.
  18. Hada M, et al. Knee Surg Sports Traumatol Arthrosc. 2018;26(6):1709-1716.
  19. Smith+Nephew 2012. Internal report. JRN2 KneeSim Analysis Memo.

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