I want that next-generation knee

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I want that next-generation knee High flex Potentially longer-lasting More normal feeling Gender-optimized Less-invasive procedure

Advanced design technology The last ten years have yielded an explosion in technology Fluoroscopy and MRI-derived in vivo kinematics Anatomic databases Computer modeling and simulation Advanced materials

The JOURNEY II BCS Knee Designed to recreate the natural motion and feel of your original knee Sized appropriately for men and women Anatomic shapes and functions are recreated Made from advanced material that may extend the life of the implant

JOURNEY II BCS Knee motion Two phases of motion: 1) -5 to 90 of flexion The knee pivots The outside compartment moves backwards very rapidly The inside compartment moves only slightly from 0-100 2) From 90-155 of flexion Both compartments move backwards in a sliding motion

JOURNEY II BCS Knee motion

Minimized sliding motion Conventional knee replacements position femur too far back, which could lead to a sliding motion while bending The JOURNEY II BCS System follows natural anatomical positioning More natural positioning of the femur and tibia reduces forward sliding during flexion

Gender optimization Specific sizes have been engineered to match male and female anatomy 10 different sizing options to make the right fit It would be rare to find a patient for whom a knee implant was not appropriately sized

Promoting normal feel with natural shapes The front portion of the femoral component is thinned to decrease knee pain while bending Asymmetric tibial implant matches the natural shape of the prepared tibia Maintains the natural 3 joint line Thinned Asymmetrical Joint line

Promoting normal feel with natural shapes Plastic liner and metal femoral component interact to recreate the stability of your ACL and PCL Plastic liner designed to allow for flexion of up to 155

Don t forget the kneecap Kneecap-friendly design Moves the kneecap through the anatomical S -curve of the trochlear groove Aligns the quadricep through flexion, which minimizes pain

After surgery You will undergo a rehabilitation protocol designed to strengthen muscles and maximize flexion; This is vital to your success! After physical therapy: Low-impact activities as your bones and muscles adjust to the new stresses (swimming, walking, bicycling) You may feel years younger than expected the excruciating bone-on-bone pain is gone!

VERILAST Knee Technology For Knee Replacement Implants

Longevity of the implant OXINIUM Oxidized Zirconium Zirconium a biocompatible metal similar to titanium The outer surface takes on lowfriction ceramic qualities during patented process Surface becomes 4,900-times more resistant to the commonly experienced metal abrasion that wears through plastic components The oxidized surface reduces plastic component wear by up to 80% when compared to cobalt chrome. Traditional implant material OXINIUM material Certain marks Reg. US Pat. & TM Off.

Longevity of the implant OXINIUM Oxidized Zirconium May extend the life of the implant due to wear Weighs 20% lighter than samesized implant made from cobalt chrome Safe for patients with metal allergy Appropriate for physically active adults Certain marks Reg. US Pat. & TM Off.

Traditional Material vs. VERILAST Technology Traditional Material Typically combines cobalt chrome with high-density plastic Expected to last 10-15 years before wear becomes an issue VERILAST Combination of Smith & Nephew s patented OXINIUM metal alloy and highly crosslinked polyethylene A knee implant technology that combines two low-friction Trademark materials of Smith & Nephew. Certain marks Reg. US Pat. & TM Off. OXINIUM Cross Linked Poly

VERILAST Wear Study Smith & Nephew LEGION Cruciate Retaining Knee with VERILAST Technology was subjected to extensive lab testing and it surpassed expectations: After 5 million simulated steps, wear was reduced by 98% compared to implants made from traditional materials. After 45 million steps, wear was reduced by 81% when compared to traditional material implants at 5 million steps 45 million steps = 30 years of typical use under normal conditions Certain marks Reg. US Pat. & TM Off.

About VERILAST Knee Technology Based on laboratory wear simulation testing, the LEGION Primary Knee System with VERILAST technology is expected to provide wear performance sufficient for 30 years of actual use under typical conditions. Results of wear simulation testing have not been proven to predict actual joint durability and performance in people Reduction in wear alone may not result in improved joint durability and performance Other factors such as bone structure, can affect joint durability and performance and cause medical conditions resulting in additional surgery These other factors were not studied

About Knee Replacement Surgery Patient Information There are potential risks with knee replacement surgery such as loosening, fracture, dislocation, wear and infection may result in additional surgery Do not perform high impact activities such as running and jumping unless your surgeon tells you these activities are acceptable Early device failure, breakage or loosening may occur if you do not follow your surgeon s limitations on activity level Early failure can happen if you do not guard your knee joint from overloading due to activity level, failure to control body weight or accidents such as falls Knee replacement surgery is intended to relieve knee pain and improve knee functions Talk to your doctor to determine what treatment may be best for you Additional information available at www.rediscoveryourgo.com