Evidence map›Paper›PMID 41245717›Full record

ArticleJournal of experimental orthopaedics2025

Anatomically-designed bicruciate-retaining total knee arthroplasty demonstrates good two-year survivorship and improvements in patient-reported outcomes: A prospective multicenter single-arm study.

Ryota Yamagami, Osamu Nishiike, Ayano Kuwasawa, Katsuhisa Ishii, Daisuke Hamada, Keinosuke Ryu, Shigeshi Mori, Kotaro Yamagishi, Sarah Megginson, Masao Akagi

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ryota YamagamiDepartment of Orthopaedic Surgery Faculty of Medicine The University of Tokyo Tokyo Japan.ORCID https://orcid.org/0000-0002-9150-4911
Osamu NishiikeDepartment of Orthopedics Kushiro Sanjikai Hospital Kushiro Hokkaido Japan.
Ayano KuwasawaDepartment of Orthopedics Saitama Cooperative Hospital Kawaguchi Saitama Japan.
Katsuhisa IshiiDepartment of Orthopedics Toho University Ohashi Medical Center Tokyo Japan.
Daisuke HamadaDepartment of Orthopedics, Institute of Biomedical Sciences Tokushima University Graduate School Tokushima Japan.
Keinosuke RyuDepartment of Orthopedics Nihon University Itabashi Hospital Tokyo Japan.
Shigeshi MoriDepartment of Orthopedic Surgery Kindai University Nara Hospital Ikoma Nara Japan.
Kotaro YamagishiDepartment of Orthopedics Kindai University Hospital Osaka Japan.
Sarah MegginsonGlobal Data Analytics, Global Clinical Research Operations Smith & Nephew Hull UK.
Masao AkagiDepartment of Orthopedic Surgery Center of Joint Replacement Surgery, Kashimoto Hospital Osaka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate the early safety and performance of a novel anatomical-design bicruciate-retaining total knee arthroplasty (BCR-TKA) implant (JOURNEY™ II XR; JIIXR) in a prospective multicenter single-arm cohort, with 2-year implant survivorship as the prespecified primary endpoint, and patient-reported outcomes and radiographic findings as secondary exploratory endpoints. Methods: Ninety-four patients (106 knees) underwent cemented BCR-TKA with JIIXR at eight centers. The primary endpoint was 2-year survivorship tested for noninferiority versus a 98% benchmark using exact binomial (one-sided 97.5% CI) and Kaplan-Meier methods. Secondary endpoints included the EuroQol 5-Dimension 5-Level (EQ-5D-5L) questionnaire, its visual analogue scale (EQ-VAS), Forgotten Joint Score-12 (FJS-12, collected postoperatively only), Knee Injury and Osteoarthritis Outcome Score (KOOS), range of motion, and radiolucent lines assessed in standardized zones. Results: At 2 years, survivorship was 97.9% (94/96), confirming non-inferiority ( Conclusions: In this prospective single-arm multicenter study, an anatomical-design BCR-TKA implant achieved good 2-year survivorship and clinically meaningful improvements in patient-reported outcomes, with stable radiographic findings. These data support early safety and performance while underscoring the need for long-term comparative studies to establish durability and relative effectiveness. Level of Evidence: Level II, therapeutic study.

Indexed as

bicruciate‐retainingimplant survival ratepatient‐reported outcome measuresrange of motionTotal knee arthroplasty

Identifiers

PMID41245717
PMCPMC12616265

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.