{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:03:14Z","timestamp":1784246594930,"version":"3.55.0"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Knee Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The original Journey BCS total knee arthroplasty (Smith and Nephew, Watford, United Kingdom) is a bicruciate-stabilized (BCS) total knee arthroplasty. Dislocations and anterior knee pain led to the introduction of the Journey II system in 2013. We reviewed the 10-year survival in our institution. All Journey BCS total knee replacements were included. The study period was from November 2010 to July 2013. Microsoft Excel was used. The primary outcome was 10-year survival using life tables; end points were re-operation for any reason; revision excluding dislocation-related issues; revision excluding secondary patella resurfacing; aseptic loosening; and a worst-case scenario. Secondary outcomes were 10-year Oxford and Western Ontario and McMaster Universities Arthritis Index (WOMAC) scores. A total of 275 Journey BCS total knee replacements were undertaken. Mean follow-up of 10.3 years with 192 remaining. All cause revision at 10-years was 82.75% (95% CI: 87.14\u201377.34), excluding dislocation and patellar resurfacing 10-year survival was 95.03% (95% CI: 97.15\u201392.59), 10-year aseptic loosening survival rate was 97.72% (95% CI: 99.00\u201395.08) and 10-year worst case scenario was 82.70% (95% CI: 87.12\u201377.24). The mean 10-year Oxford score was 29.5, and WOMAC was 34.5. Ten-year survival shows a all cause survival rate of 82.75%. Predominant early failures were secondary patellar resurfacing and dislocations. A concerning late mode of failure in peg fracture has been identified, and further research is required.<\/jats:p>","DOI":"10.1055\/a-2908-2576","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T22:51:07Z","timestamp":1783464667000},"source":"Crossref","is-referenced-by-count":0,"title":["Journey Bicruciate Stabilised Total Knee Replacement\u2014A Survival Analysis of a Full Single Hospital Cohort of Implants at a Minimum of 10 Years"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6404-3945","authenticated-orcid":false,"given":"Darren","family":"Myatt","sequence":"additional","affiliation":[{"name":"Liverpool University Hospitals NHS Foundation Trust, United Kingdom of Great Britain and Northern Ireland","place":["Liverpool"],"department":["Lower Limb Arthroplasty Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alasdair J. A.","family":"Santini","sequence":"additional","affiliation":[{"name":"Liverpool University Hospitals NHS Foundation Trust, United Kingdom of Great Britain and Northern Ireland","place":["Liverpool"],"department":["Lower Limb Arthroplasty Unit"]},{"name":"University of Liverpool Faculty of Health and Life Sciences, England, United Kingdom of Great Britain and Northern Ireland","place":["Liverpool"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne","family":"Banks","sequence":"additional","affiliation":[{"name":"Liverpool University Hospitals NHS Foundation Trust, United Kingdom of Great Britain and Northern Ireland","place":["Liverpool"],"department":["Lower Limb Arthroplasty Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John S.","family":"Davidson","sequence":"additional","affiliation":[{"name":"Liverpool University Hospitals NHS Foundation Trust, United Kingdom of Great Britain and Northern Ireland","place":["Liverpool"],"department":["Lower Limb Arthroplasty Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Phillipson","sequence":"additional","affiliation":[{"name":"Liverpool University Hospitals NHS Foundation Trust, United Kingdom of Great Britain and Northern Ireland","place":["Liverpool"],"department":["Lower Limb Arthroplasty Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne","family":"Yorke","sequence":"additional","affiliation":[{"name":"Liverpool University Hospitals NHS Foundation Trust, United Kingdom of Great Britain and Northern Ireland","place":["Liverpool"],"department":["Lower Limb Arthroplasty Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Pope","sequence":"additional","affiliation":[{"name":"Liverpool University Hospitals NHS Foundation Trust, United Kingdom of Great Britain and Northern Ireland","place":["Liverpool"],"department":["Lower Limb Arthroplasty Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,16]]},"reference":[{"issue":"07","key":"ref1","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1302\/0301-620X.93B7.26208","article-title":"Bicruciate-stabilised total knee replacements produce more normal sagittal plane kinematics than posterior-stabilised designs","volume":"93","author":"T R Ward","year":"2011","journal-title":"J Bone Joint Surg Br"},{"issue":"15","key":"ref2","first-page":"395","article-title":"Consecutive series of 226 journey bicruciate substituting total knee replacements: early complication and revision rates","volume":"25","author":"B Christen","year":"2014"},{"key":"ref3","first-page":"395","article-title":"Second-generation bi-cruciate stabilized total knee system has a lower reoperation and revision rate than its predecessor","volume":"15","author":"B Christen","year":"2014","journal-title":"BMC Musculoskelet Disord"},{"issue":"07","key":"ref4","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1055\/s-0040-1718599","article-title":"The journey bicruciate knee replacement: design modifications yield better early functional results and reduce complications","volume":"35","author":"L Oikonomidis","year":"2022","journal-title":"J Knee Surg"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.artd.2019.06.001","article-title":"Nontraumatic fracture of the polyethylene tibial post in a bi-cruciate stabilized total knee prosthesis","volume":"5","author":"D Renson","year":"2019","journal-title":"Arthroplast Today"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.knee.2023.12.009","article-title":"Tibial polyethylene post fractures at ten-years in a bicruciate stabilised (BCS) total knee arthroplasty design","volume":"47","author":"K Nie","year":"2024","journal-title":"Knee"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1302\/0301-620X.80B1.0800063","article-title":"Questionnaire on the perceptions of patients about total knee replacement","volume":"80","author":"J Dawson","year":"1998","journal-title":"J Bone Joint Surg Br"},{"issue":"12","key":"ref8","first-page":"1833","article-title":"Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee","volume":"15","author":"N Bellamy","year":"1988","journal-title":"J Rheumatol"},{"key":"ref9","volume-title":"Statistical methods in medical research. 4th Edition ed","author":"P BG Armitage","year":"1994"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1302\/0301-620X.75B5.8376423","article-title":"Survival analysis of joint replacements","volume":"75","author":"D W Murray","year":"1993","journal-title":"J Bone Joint Surg Br"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1302\/0301-620X.79B2.0790254","article-title":"Loss to follow-up matters","volume":"79","author":"D W Murray","year":"1997","journal-title":"J Bone Joint Surg Br"},{"issue":"08","key":"ref12","doi-asserted-by":"crossref","first-page":"1933","DOI":"10.1007\/s00167-013-2776-5","article-title":"The minimal clinically important difference in the Oxford knee score and Short Form 12 score after total knee arthroplasty","volume":"22","author":"N D Clement","year":"2014","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"10","key":"ref13","doi-asserted-by":"crossref","first-page":"2005","DOI":"10.1097\/CORR.0000000000000444","article-title":"What is the minimum clinically important difference for the WOMAC index after TKA?","volume":"476","author":"N D Clement","year":"2018","journal-title":"Clin Orthop Relat Res"},{"issue":"04","key":"ref14","first-page":"507","article-title":"Iliotibial band traction syndrome in guided motion TKA. A new clinical entity after TKA","volume":"76","author":"L Luyckx","year":"2010","journal-title":"Acta Orthop Belg"},{"issue":"06","key":"ref15","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1007\/s00167-010-1258-2","article-title":"Posterior dislocation in total knee replacement: a price for deep flexion?","volume":"19","author":"N Arnout","year":"2011","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"04","key":"ref16","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1016\/j.arth.2023.10.027","article-title":"What are the outcomes of secondary patella resurfacing for dissatisfaction following primary knee arthroplasty? A systematic review and meta-analysis of 604 knees","volume":"39","author":"O Andronic","year":"2024","journal-title":"J Arthroplasty"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.knee.2023.12.004","article-title":"Aseptic loosening of the option stemmed tibial tray in the Zimmer NexGen LPS total knee arthroplasty system","volume":"47","author":"R M Bhalekar","year":"2024","journal-title":"Knee"},{"issue":"10","key":"ref19","doi-asserted-by":"crossref","first-page":"2002","DOI":"10.1007\/s00167-011-1796-2","article-title":"Bicruciate substituting total knee replacement: how effective are the added kinematic constraints in vivo?","volume":"20","author":"B H van Duren","year":"2012","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"03","key":"ref20","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1007\/s00167-013-2509-9","article-title":"Can TKA design affect the clinical outcome? Comparison between two guided-motion systems","volume":"22","author":"R Mugnai","year":"2014","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1186\/1471-2474-15-435","article-title":"Short-term functional versus patient-reported outcome of the bicruciate stabilized total knee arthroplasty: prospective consecutive case series","volume":"15","author":"M Christen","year":"2014","journal-title":"BMC Musculoskelet Disord"},{"issue":"10","key":"ref22","doi-asserted-by":"crossref","first-page":"e81","DOI":"10.2106\/JBJS.M.00277","article-title":"Bicruciate substituting design does not improve maximal flexion in total knee arthroplasty: a randomized controlled trial","volume":"96","author":"J J Schimmel","year":"2014","journal-title":"J Bone Joint Surg Am"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1186\/1471-2474-15-395","article-title":"Consecutive series of 226 journey bicruciate substituting total knee replacements: early complication and revision rates","volume":"15","author":"B Christen","year":"2014","journal-title":"BMC Musculoskelet Disord"}],"container-title":["The Journal of Knee Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2908-2576.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T23:08:02Z","timestamp":1784243282000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2908-2576"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,7]]},"references-count":22,"URL":"https:\/\/doi.org\/10.1055\/a-2908-2576","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1538-8506","1938-2480"],"issn-type":[{"value":"1538-8506","type":"print"},{"value":"1938-2480","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,7,7]]},"published":{"date-parts":[[2026,7,7]]}}}