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Bi-Cruciate Retaining Knee System



Exceed expectations.  Preserve active lifestyles

JOURNEY II XR addresses patients' ever-growing expectation to return to an active lifestyle that is designed to:

  • Retain the ACL in a total knee replacement
  • Deliver normal proprioception and muscle control1
  • Complete the JOURNEY II platform

Preserve the ACL, and get patients back to their normal kinematics with the revolutionary JOURNEY II XR.

JOURNEY II XR Measurements-Download


Highlights of the JOURNEY II XR system include:

  • A femoral component that is shared with JOURNEY II CR
  • A tibia component that includes a metal tibia tray with two independent and uniquely designed medial and lateral inserts
  • A seamless transition from:JOURNEY II XR (ACL/PCL Retaining) JOURNEY II CR (PCL Retaining)  JOURNEY II BCS (ACL/PCL Sacrificing)


Indications of JOURNEY II XR

Indications for use include rheumatoid arthritis; post-traumaticarthritis, osteoarthritis or degenerative arthritis; failedosteotomies or unicompartmental replacement. This system isdesigned for use in patients in primary total knee replacementsurgery, where the cruciate ligaments and the collateralligaments remain intact.

Designed to replicate normal knee motion, the JOURNEY II XR prosthesis provides more mobility in the lateral compartment than other total knee systems.1 For patients that present with significant varus or valgus deformities (> 15º), morbid obesity or deficient cruciate ligaments, consider whether additional implant constraint is more appropriate. If patients with the above mentioned conditions are scheduled for a JOURNEY II XR then consider having a more constraining (CR, Deep Dished or BCS) implant option on hand.


1. Cases where there is poor bone stock which would make the procedure unjustifiable.

2. Active, local infection or previous intra-articular infections.

3. Mental or neurologic conditions that tend to pre-empt the patient’s ability or willingness to restrict activities.

4. Neuropathic (Charcot) joint.

5. Conditions that tend to place increased loads on implants such as age, weight, and activity level, which are incompatible with a satisfactory long-term result.

6. Collateral ligament insufficiency (except in cases where a constrained knee system is indicated and used).

7. Skeletal immaturity.

8. Use of a supracondylar nail through intercondylar notch of PROFIX™ primary femoral components.

9. Use of slotted femoral and tibial stems without adequate bone support.

10. Anterior cruciate ligament insufficiency when using the JOURNEY II XR tibial base and inserts.

11. Incomplete or insufficient tissue surrounding the knee.

12. Use of a supra-patellar tibial nail through cruciate notch of JOURNEY II XR tibial baseplate.

Note: Improper technique can result in ACL impingement or failure or eminence fracture. Take care to ensure the ACL and other soft tissues are not damaged throughout the procedure.



1. Moro-Oka, Taka-Aki, Marc Muenchinger, Jean Pierre Canciani, and Scott A. Banks.“Comparing in Vivo
Kinematics of Anterior Cruciate-retaining and Posterior Cruciate-retaining Total Knee Arthroplasty.” Knee
Surgery, Sports Traumatology, Arthroscopy 15.1 (200&): 93:99. Web.

Professional Education

JOURNEY II XR Instructional Courses

Course objectives: Surgeon participants will learn about the history and current design rationale of bi-cruciate retaining knees, including indications and surgical technique, through didactic presentations and hands on skills training in cadaveric labs. XR will be shown with standard instrumentation and with the enabling technologies NAVIO Surgical System and VISIONAIREPatient Matched Technology.

Visit for registration and the full agenda

2018 Meeting dates  Location

February 2      Salt Lake City, UT

April 21        Scottsdale, AZ

June 8          Memphis, TN

October 13      Miami, FL

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This information is intended for health care professionals in the United States only.

Caution: US Federal law restricts the sale of these devices to or on the order of a physician.