Short-term Safety and Effectiveness of a Second-generation Motion-guided Total Knee System

Overview

Journal Arthroplast Today

Publisher Elsevier

Date 2018 Jun 14

PMID 29896561

Citations 5

Authors

Adam I Harris

Tianyi David Luo

Jason E Lang

Branko Kopjar

Affiliations

Soon will be listed here.

Abstract

Background: Modern knee prostheses are designed to more closely replicate normal knee kinematics. The JOURNEY II Bi-Cruciate Stabilized Total Knee System (Smith & Nephew Inc., Memphis, TN) is a second-generation motion-guided knee system that demonstrates axial rotation patterns during flexion, which resemble those of the normal knee. The aim of this study was to assess the short-term safety and effectiveness of this system in standard clinical practice.

Methods: A total of 186 subjects (209 primary total knee arthroplasties [TKAs]) were enrolled at 12 U.S. sites. Subjects were operated on between December 2011 and October 2013 and followed for 24 months. Radiographic, clinical, and patient-reported outcome data were collected at 6-, 12-, and 24-month postoperatively.

Results: At 24-month follow-up, the average objective Knee Society Score was 96.20 (standard deviation [SD] = 6.63), the average satisfaction score was 35.22 (SD = 6.63), the average expectation score was 10.91 (SD = 3.16), and the average functional activities score was 81.49 (SD = 14.65). On a 0-10 scale, pain level for walking was 0.79 (SD = 1.51) and 1.50 (SD = 1.97) for climbing stairs or inclines. The cumulative incidence of reoperation at 2-year follow-up was 1.48% (95% confidence interval [CI] 0.48%-4.52%). Ten TKAs in 7 patients were treated with closed manipulations for stiffness. Iliotibial band syndrome was reported in 2 TKAs. Two deep infections occurred, 1 requiring reoperation. No dislocations occurred in the study cohort.

Conclusions: In short-term follow-up, the JOURNEY II Bi-Cruciate Stabilized Guided Motion Total Knee System appears to be a safe and effective device for TKA.

Citing Articles

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Low Correlation between Gait and Quality of Life in Advanced Knee Osteoarthritis.

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Restoring Anatomical Features in Primary Total Knee Arthroplasty.

Cretu B, Costache M, Cursaru A, Serban B, Spiridonica R, Popa M Cureus. 2023; 15(6):e40616.

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Maximal flexion and patient outcomes after TKA, using a bicruciate-stabilizing design.

Kosse N, Heesterbeek P, Defoort K, Wymenga A, van Hellemondt G Arch Orthop Trauma Surg. 2020; 140(10):1495-1501.

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References

Victor J, Bellemans J . Physiologic kinematics as a concept for better flexion in TKA. Clin Orthop Relat Res. 2006; 452:53-8. DOI: 10.1097/01.blo.0000238792.36725.1e. View

Talmo C, Robbins C, Bono J . Total joint replacement in the elderly patient. Clin Geriatr Med. 2010; 26(3):517-29. DOI: 10.1016/j.cger.2010.04.002. View

Carr A, Robertsson O, Graves S, Price A, Arden N, Judge A . Knee replacement. Lancet. 2012; 379(9823):1331-40. DOI: 10.1016/S0140-6736(11)60752-6. View

Luyckx L, Luyckx T, Bellemans J, Victor J . Iliotibial band traction syndrome in guided motion TKA. A new clinical entity after TKA. Acta Orthop Belg. 2010; 76(4):507-12. View

Digennaro V, Zambianchi F, Marcovigi A, Mugnai R, Fiacchi F, Catani F . Design and kinematics in total knee arthroplasty. Int Orthop. 2014; 38(2):227-33. PMC: 3923950. DOI: 10.1007/s00264-013-2245-2. View

Sanz-Ruiz P, Carbo-Laso E, Alonso-Polo B, Matas-Diez J, Vaquero-Martin J . Does a new implant design with more physiological kinematics provide better results after knee arthroplasty?. Knee. 2016; 23(3):399-405. DOI: 10.1016/j.knee.2016.02.017. View

Victor J, Mueller J, Komistek R, Sharma A, Nadaud M, Bellemans J . In vivo kinematics after a cruciate-substituting TKA. Clin Orthop Relat Res. 2009; 468(3):807-14. PMC: 2816757. DOI: 10.1007/s11999-009-1072-7. View

Davis J, Hogan C, Dayton M . Postoperative Coronal Alignment After Total Knee Arthroplasty: Does Tailoring the Femoral Valgus Cut Angle Really Matter?. J Arthroplasty. 2015; 30(8):1444-8. DOI: 10.1016/j.arth.2015.03.013. View

Walker P . A new concept in guided motion total knee arthroplasty. J Arthroplasty. 2001; 16(8 Suppl 1):157-63. DOI: 10.1054/arth.2001.28723. View

10.

Matsuzaki T, Matsumoto T, Muratsu H, Kubo S, Matsushita T, Kawakami Y . Kinematic factors affecting postoperative knee flexion after cruciate-retaining total knee arthroplasty. Int Orthop. 2013; 37(5):803-8. PMC: 3631492. DOI: 10.1007/s00264-013-1803-y. View

11.

Hawker G, Wright J, Coyte P, Paul J, Dittus R, Croxford R . Health-related quality of life after knee replacement. J Bone Joint Surg Am. 1998; 80(2):163-73. DOI: 10.2106/00004623-199802000-00003. View

12.

Arnout N, Vandenneucker H, Bellemans J . Posterior dislocation in total knee replacement: a price for deep flexion?. Knee Surg Sports Traumatol Arthrosc. 2010; 19(6):911-3. DOI: 10.1007/s00167-010-1258-2. View

13.

Amin N, Omiyi D, Kuczynski B, Cushner F, Scuderi G . The Risk of a Deep Infection Associated With Intraarticular Injections Before a Total Knee Arthroplasty. J Arthroplasty. 2015; 31(1):240-4. DOI: 10.1016/j.arth.2015.08.001. View

14.

Noble P, Scuderi G, Brekke A, Sikorskii A, Benjamin J, Lonner J . Development of a new Knee Society scoring system. Clin Orthop Relat Res. 2011; 470(1):20-32. PMC: 3237986. DOI: 10.1007/s11999-011-2152-z. View