Hip replacementDr. Anthony Carter, orthopaedic surgeon at Hampton Roads Orthopaedics & Sports Medicine (HROSM), was the first in Virginia to perform a bi-cruciate retaining total knee arthroplasty with the Journey XR Active Knee System. The bi-cruciate retaining knee is specifically designed to preserve the patients’ anterior cruciate ligament (ACL) and posterior curciate ligament (PCL).

“Due to the design of the conventional knee replacements, the patients’ ACL is required to be removed even if it is healthy and in good condition,” says Carter. During a total knee replacement, the tibia component is positioned where the ACL is connected; in order to secure the tibia component, the ACL must be removed.

The ACL is an important ligament providing stability and support for the knee. The new design of the bi-cruciate retaining total knee replacement maintains the ACL and PCL returning patients back to their normal kinematics following surgery. This implant provides an advantage over the traditional knee by replicating the natural motion and sensation of a normal knee providing patients’ with an improved perception of a natural ‘feeling’ knee.

“This is a promising new design,” says Carter. “We are now able to perform a total knee replacement and retain the ACL returning patients’ to their natural knee kinematics leading to improved patient satisfaction, mobility, and overall quality of life.”

The Journey XR Active Knee System may not be appropriate for every patient undergoing a total knee replacement.