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JOURNEY II ROX Total Knee Solution

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JOURNEY◊ II ROX◊ Total Knee Solution

The JOURNEY II ROX Total Knee Solution is an implant system for total knee replacement. It features OXINIUM◊ Technology, the award-winning implant material available only from Smith+Nephew.1

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Overview

The JOURNEY II ROX Total Knee Solution is an implant system designed to restore function in your knee. It combines three of our most innovative joint technologies, including our award-winning OXINIUM◊ Technology.1

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What is the JOURNEY II ROX Total Knee Solution?

The JOURNEY II ROX Total Knee Solution is an implant for total knee replacement. It brings together three notable Smith+Nephew technologies:


Is the JOURNEY II ROX system right for me?

To find out if the JOURNEY II ROX system is a treatment option, make an appointment with an orthopaedic surgeon. The surgeon will examine your knee and review your health situation in determining if knee replacement is recommended. Here are other things to know:

Talk to your surgeon to learn more about the importance of implant materials in knee replacement surgery.
Go to Total Knee Replacement
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What are the risks involved?

All surgery has risks and the potential for complications. Talk to your surgeon about any concerns you may have before you decide on treatment. Some of the possible risks and complications for knee replacement include:

  • Blood clotting
    Blood clotting problems – such as deep vein thrombosis (DVT) or pulmonary embolism (PE) – may occur after surgery and interrupt normal blood flow. Your medical team may recommend medications and exercises to reduce the risk.


  • Infection
    Infection may occur at the surgical site or elsewhere in the body. If a serious infection occurs, additional surgery or removal of the implant may be needed.


  • Pneumonia
    After surgery, pneumonia or other breathing problems may develop. Your medical team may recommend measures to reduce the risk.


  • Nerve problems
    Nerves or blood vessels in the knee area may be damaged during surgery.


  • Long-term pain and stiffness in the knee
    Most patients experience pain relief after knee replacement, but some may continue to have pain. Similarly, some patients may develop joint stiffness. Following the recovery guidelines provided by your medical team may help reduce this risk.


  • Implant wear or failure
    The knee implant may become worn, loose, or damaged. It may not perform as expected. In some cases, another surgery may be needed to correct or replace the implant.


This is not a complete list of risks. In some cases, you may need additional surgery to address a complication. Talk to your surgeon about the possible risks for your specific health situation.

Disclaimers

All information provided on this website is for informational purposes only and is not meant as medical advice. Not everyone is a candidate for the JOURNEY II ROX Total Knee Solution, and individual results of joint replacement will vary. Implants are intended to relieve knee pain and improve function but may not produce the same feel or function as your original knee. Every patient's case is unique, and each patient should follow his or her doctor's specific instructions. Potential risks include loosening, wear, and infection that may result in the need for additional surgery. Discuss your implant options with your surgeon. Please discuss nutrition, medication, and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency, please call 911 and seek emergency help.

◊Trademark of Smith+Nephew. 40707 4/2024

Citations

*Based on Bi-Cruciate Stabilized (BCS) evidence

**Compared to non-JOURNEY II Knees, and based on Bi-Cruciate Stabilized (BCS) evidence

1. 2005 ASM International Engineering Materials Achievement Award. 
2. Grieco TF, Sharma A, Dessinger GM, Cates HE, Komistek RD. In Vivo Kinematic Comparison of a Bicruciate Stabilized Total Knee Arthroplasty and the Normal Knee Using Fluoroscopy. J Arthroplasty. 2018;33(2):565-571. 
3. Murakami K, Hamai S, Okazaki K, et al. In vivo kinematics of gait in posterior-stabilized and bicruciate-stabilized total knee arthroplasties using image-matching techniques. Int Orthop.2018;42(11):2573-2581. 
4. Iriuchishima T, Ryu K. A Comparision of Rollback Ratio between Bicruciate Substituting Total Knee Arthroplasty and Oxford Unicompartmental Knee Arthroplasty. J Knee Surg. 2018;31(6):568-572.  
5. Murakami K, Hamai S, Okazaki K, et al. Knee kinematics in bicruciate stabilized total knee arthroplasty during squatting and stair-climbing activities. J Orthop. 2018;15(2):650-654.  
6. Smith LA, Nachtrab J, LaCour M, et al. In Vivo Knee Kinematics: How Important Are the Roles of Femoral Geometry and the Cruciate Ligaments? J Arthroplasty. 2021;36:1445-1454. 
7. Kosse NM, Heesterbeek PJC, Defoort KC, Wymenga AB, Hellemondt GG. Minor adaptations in implant design bicruciate substituted total knee system improve maximal flexion. Poster presented at: 2nd World Arthroplasty Congress;19-21 April,  2018; Rome, Italy.

8. Nodzo SR, Carroll KM, Mayman DJ. The Bicruciate Substituting Knee Design and Initial Experience. Techniques in Orthopaedics. 2018;33(1):37-41. 

9. Takubo A, Ryu K, Iriuchishima T, Tokuhashi Y. Comparison of Muscle Recovery Following Bi-cruciate Substituting versus Posterior Stabilized Total Knee Arthroplasty in the Asian Population. J Knee Surg. 2017;30(7):725-729.  

10. Mayman DJ, Patel AR, Carroll KM. Hospital Related Clinical and Economic Outcomes of a Bicruciate Knee System in Total Knee Arthroplasty Patients. Poster presented at: ISPOR Symposium;19-23 May, 2018; Baltimore, Maryland, USA. 
11. Noble P.C, Scuderi G.R, Brekke A.C, et al. Development of a New Knee Society Scoring System. Clin Orthop Relat Res 2012;470(1):20-32.  
12. Kaneko T, Kono N, Mochizuki Y, Hada M, Toyoda S, Musha Y. Bicruciate substituting total knee arthroplasty improved medio-lateral instability in mid-flexion range. J Orthop. 2017;14(1):201-206.  
13. Hino K, Kutsuna T, Watamori K, et al. Bi-cruciate substituting total knee arthroplasty provides varus–valgus stability throughout the midflexion range. Knee. 2018;25(5):897-902.  
14. Sheth NP, Lementowski P, Hunter G, Garino JP. Clinical applications of oxidized zirconium. J Surg Orthop Adv. 2008;17(1):17-26.  
15. Long M, Riester L, Hunter G. Nano-hardness Measurements of Oxidized Zr-2.5Nb and Various Orthopaedic Materials. 24th Annual Meeting of the Society for Biomaterials. April 22-26, 1998.  
16. Lee JK, Maruthainar K, Wardle N, Haddad F, Blunn GW. Increased force simulator wear testing of a zirconium oxide total knee arthroplasty. Knee. 2009;16(4):269-274.  
17. Papannagari R, Hines G, Sprague J. Longterm Wear Performance of an Advanced Bearing Technology for TKA. Poster presented at: ORS 2011 Annual Meeting. 
18. American Academy of Orthopaedic Surgeons website. Accessed Mar 28, 2024.  https://orthoinfo.aaos.org/en/treatment/total-knee-replacement. 

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