{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T11:18:44Z","timestamp":1784287124986,"version":"3.55.0"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Knee Surg"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The Journey-I total knee replacement was designed to improve knee kinematics but had several complications including early dislocation. The Journey-II modification was introduced to reduce these while maintaining high function. To assess whether the modified Journey-II prosthesis has succeeded in its designers aims, we undertook an observational study of prospectively recorded data to analyze and compare the two knees. A total of 217 Journey-I and 129 Journey-II knees were identified from the department's prospectively collated registry and were assessed at 1 year by a comparative statistical analysis using numerous factors including pain, functional activity, physical assessment, Short Form-12 (SF-12), Western Ontario and McMaster Universities Arthritis Index (WOMAC), and Oxford scores. The statistical tests included Chi-square, Wilcoxon's rank and Mann\u2013Whitney U-tests with the level of significance set at p\u2009&lt;\u20090.05. There was a variation in primary patella resurfacing between the two groups with 14.3% in the Journey-I cohort and 66.7% in the Journey-II cohort. Both replacements demonstrated excellent postoperative function, but the Journey II performed significantly better than Journey I with fewer complications (37 vs. 10) and better improvement in almost all clinical scores including pain (p\u2009&lt;\u20090.01), mobility outcomes (p\u2009=\u20090.018), Oxford (p\u2009=\u20090.004), and WOMAC (p\u2009=\u20090.039) scores but not with flexion improvement and SF-12 score. There was significant improvement in patellofemoral pain postoperatively in both the Journey I (p\u2009=\u20090.011) and Journey II (p\u2009=\u20090.042) arthroplasty; however the primarily resurfaced patella in a Journey-II implant had better postoperative scores. The main complication of dislocation in the Journey I was not seen in the modified Journey-II implant with stiffness requiring intervention reduced in Journey II. These results suggest that the Journey II has improved short-term clinical outcomes compared with Journey I with reduction of dislocation and other complications.<\/jats:p>","DOI":"10.1055\/s-0040-1718599","type":"journal-article","created":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T03:07:43Z","timestamp":1603854463000},"page":"767-775","source":"Crossref","is-referenced-by-count":4,"title":["The Journey Bicruciate Knee Replacement: Design Modifications Yield Better Early Functional Results and Reduce Complications"],"prefix":"10.1055","volume":"35","author":[{"given":"Lazaros","family":"Oikonomidis","sequence":"additional","affiliation":[{"name":"Lower Limb Arthroplasty Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alasdair J. A.","family":"Santini","sequence":"additional","affiliation":[{"name":"Lower Limb Arthroplasty Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John S.","family":"Davidson","sequence":"additional","affiliation":[{"name":"Lower Limb Arthroplasty Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne V.","family":"Banks","sequence":"additional","affiliation":[{"name":"Lower Limb Arthroplasty Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Phillipson","sequence":"additional","affiliation":[{"name":"Lower Limb Arthroplasty Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Pope","sequence":"additional","affiliation":[{"name":"Lower Limb Arthroplasty Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,10,27]]},"reference":[{"issue":"04","key":"ref2","first-page":"507","article-title":"Iliotibial band traction syndrome in guided motion TKA. 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