Initial Experience of the Journey-Deuce Bicompartmental Knee Prosthesis

Abstract We evaluated the effectiveness of a novel bicompartmental knee arthroplasty prosthesis for the treatment of degenerative disease affecting the medial and patellofemoral compartments. The study included 36 knees in 32 patients with a mean follow-up of 21 months. The mean Knee Society functio...

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Bibliographic Details
Published in:The Journal of arthroplasty 2011, Vol.26 (6), p.40-45
Main Authors: Palumbo, Brian T., MD, Henderson, Eric R., MD, Edwards, Paul K., MD, Burris, R. Brandon, MD, Gutiérrez, Sergio, PhD, Raterman, Steven J., MD
Format: Article
Language:English
Subjects:
degenerative disease
Journey-Deuce bicompartmental knee prosthesis
Orthopedics
total knee arthroplasty
unicompartmental knee arthroplasty
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Summary:Abstract We evaluated the effectiveness of a novel bicompartmental knee arthroplasty prosthesis for the treatment of degenerative disease affecting the medial and patellofemoral compartments. The study included 36 knees in 32 patients with a mean follow-up of 21 months. The mean Knee Society functional survey and Western Ontario McMaster Osteoarthritic Index Survey scores were 65.4 and 75.8, respectively. Thirty-one percent of patients were unsatisfied with the surgery, and 53% stated that they would not repeat the surgery. We report an overall survival rate of 86% with one catastrophically failed tibial baseplate. We conclude that this prosthesis provides inconsistent pain relief and unacceptable functional results for bicompartmental arthritis. Short-term survival of this prosthesis was unacceptably low, and therefore, we no longer implant it at our institution.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2011.03.026