JOURNEY PFJ
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?s smith&nephew JOURNEY* PFJ Patellofemoral Knee System

Graph 1 2 Percent reporting no difficulty Graph 2 3 Sports activity Control subjects Postop gardening carrying heavy objects golf racquet sports dancing Today’s fastest growing segment of knee replacement patients is seeking a return to a more active lifestyle.1 Traditional knee replacement options don’t meet the need for higher functionality, improved motion or long-term durability.2,3,4,5 Most significantly, these traditional systems fall short in providing a return to a normal pattern of motion. Lack of motion, both selection and kinematics, can mean less satisfaction for patients who are...

PHYSIOLOGICAL MATCHING™ Technology Anatomic design conforms to patient anatomy and improves patella tracking ‘S’ shaped trochlear groove is designed to provide optimal patella tracking Four peg divergent design allows for superior fixation For orthopaedic surgeons seeking treatment solutions beyond traditional knee replacements, JOURNEY™ PFJ has been engineered to empower patients with a renewed right to an active lifestyle by breaking through traditional knee replacement barriers and helping patients revive their Function, Motion and Durability through PHYSIOLOGICAL MATCHING Technology....

Function Conforming • Unlike most competitors, JOURNEY™ PFJ has an anatomically conforming implant that is tailored to a person’s native anatomy. It is designed to conform to both a left and right femur, whereas most other patellofemoral replacements (PFRs) have one implant for both hands. • JOURNEY PFJ’s anatomic shape has optimal bone coverage, which helps to reduce stress shielding and bone resorption. Studies have shown that JOURNEY PFJ has stresses comparable to the physiological knee.6 JOURNEY PFJ anatomic asymmetric Avon PFJ non-anatomic symmetric S-shaped trochlear groove Forgiving...

Incidence of compartmental arthritis In men with knee p pain Medial • Despite the prevailing perception that PFRs have a very low incidence and are uncommon, studies have shown that approximately 1/3 of people over 60 experience patellofemoral joint space narrowing, and 24.3% of women and 11.0% of men with knee pain have isolated patellofemoral compartment arthritis. Additionally, patellofemoral joint pain is the most common problem in the knee, affecting approximately 25% of the population. 8,17 • While early PFRs demonstrated poor results, second iteration designs with less constrained...

Motion Patellofemoral kinematics S-shaped trochlear groove • The patented s-shaped groove of the JOURNEY™ PFJ has Y™ shown great clinical history in both the GENESIS™ II and ™ 7,10,12 LEGION™ primary systems. ™ • The deepened and lateralized trochlear groove of the JOURNEY PFJ drives normal superior patella tracking and has been clinically shown to have lower lateral release rates compared to other designs.7,10,12 Lateral retinaculum release in patellofemoral joint instability has been shown to promote reoccurrence of instability, indicating PFJ releases should be avoided whenever...

Fixation • JOURNEY™ PFJ utilizes four convergent pegs that have Y™ been shown to provide excellent long term fixation.13,14 • Grit blasted underside with cement grooves have been designed to promote superior cement adhesion.13,14 • JOURNEY PFJ has been found to have normal physiological loading patterns compared to the normal knee in flexion, reducing the chance of adverse effects from stress shielding and bone resorption, such as l

Durability 3D surface profiles of retrieved Oxidized Zirconium and Cobalt-Chromium femoral components Retrieved • OXINIUM Technology is more than twice as hard as CoCr.24 • OXINIUM Technology has a coefficient of friction that is up to half that of CoCr.25 Metal sensitivity • OXINIUM™ Oxidized Zirconium is an advanced bearing material that combines the strength of metal with the wear resistance of ceramics.28 • OXINIUM Technology is 4,900 times more resistant to abrasion than CoCr.23 We understand that no measurable nickel content is of immeasurable benefit to nickel-sensitive patients. •...

• JOURNEY0 PFJ is fully integrated and interchangeable with all JOURNEY Active Knee solutions. It can be used effectively in combination with JOURNEY UNI in cases that require both compartments to be replaced. Studies have shown that this bi-compartmental replacement can be very effective in treating patients, by preserving soft tissue and achieving normal gate patterns compared to a TKA. Approximately 7% of patients could be candidates for this procedure.15'16'17'18'21 • Unlike many other PFJ competitor implants, JOURNEY PFJ has a seamless transition to JOURNEY II CR, JOURNEY II BCS, or...

From the company that brought the first commercial PFJ to market… Following on a rich history of partial knee arthroplasty and success of the JOURNEY™ BCS design – which showed recovery of normal patterns of motion and high gains in flexion 6-13, 21, 27-28 – Smith & Nephew has created a seamless, next generation family of partial and primary knee systems designed to help restore patients' level of function, motion and durability. The JOURNEY PFJ combines the clinically proven performance of its trochlear groove with powerful precision-the first completely instrumented JOURNEY PFJ system for...

2007 PLUS Orthopedics Smith & Nephew purchased the Swiss company PLUS Orthopedics. This added the PLUS SOLUTION knee family to the portfolio: TC-PLUS™ PRIMARY, TC-PLUS REVISION, and RT-PLUS™ REVISION. The PLUS Knee family is developed and manufactured in Switzerland and offers a seamless system; from Primary - Complex Primary - Revision - Hinge Knee. 2007 JOURNEY™ DEUCE Revolutionary approach to addressing medial femoral and patella-femoral disease in monolithic component. The lessons gained from experiences have allowed advanced kinematic I evaluations. Designers: Dr. Lindsey Rolston and...