The Journal of Arthroplasty
Volume 26, Issue 6, Supplement , Pages 40-45, September 2011

Initial Experience of the Journey-Deuce Bicompartmental Knee Prosthesis:

A Review of 36 Cases

  • Brian T. Palumbo, MD

      Affiliations

    • University of South Florida Department of Orthopaedic Surgery, Tampa, Florida
    • Corresponding Author InformationReprint requests: Brian T. Palumbo, MD, 1887 Paradise Ln, Clearwater, FL 33756.
  • ,
  • Eric R. Henderson, MD

      Affiliations

    • University of South Florida Department of Orthopaedic Surgery, Tampa, Florida
  • ,
  • Paul K. Edwards, MD

      Affiliations

    • University of South Florida Department of Orthopaedic Surgery, Tampa, Florida
  • ,
  • R. Brandon Burris, MD

      Affiliations

    • University of South Florida Department of Orthopaedic Surgery, Tampa, Florida
  • ,
  • Sergio Gutiérrez, PhD

      Affiliations

    • Foundation for Orthopaedic Research and Education (FORE), Tampa, Florida
  • ,
  • Steven J. Raterman, MD

      Affiliations

    • University of South Florida Department of Orthopaedic Surgery, Tampa, Florida

Received 9 January 2011; accepted 11 March 2011. published online 11 May 2011.

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.

Keywords: Journey-Deuce bicompartmental knee prosthesis, degenerative disease, total knee arthroplasty, unicompartmental knee arthroplasty

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 The Conflict of Interest statement associated with this article can be found at doi:10.1016/j.arth.2011.03.026.

PII: S0883-5403(11)00125-2

doi:10.1016/j.arth.2011.03.026

The Journal of Arthroplasty
Volume 26, Issue 6, Supplement , Pages 40-45, September 2011