July 31, 2009


COLUMBIA, Tenn. – For the millions of Americans who suffer from debilitating osteoarthritis of the knee, there is an advanced, new solution that may provide them with an alternative to total knee replacement surgery. Dr. Scott W. McCall, a specialist in orthopedic surgery on the medical staff at Maury Regional Medical Center (MRMC), is the first in the medical center to use the Journey Deuce knee system, a partial knee-resurfacing device that uniquely preserves bone and ligaments otherwise sacrificed during total knee replacement.


“What this implant provides is a new treatment option specifically designed for the reported 70 percent of patients whose osteoarthritis only afflicts two of the three compartments on the knee,” explains Dr. McCall.  “In the past, these patients were given a conventional total knee implant—a procedure that, while proven successful, does require the removal of healthy bone and the knee’s stabilizing ligaments.”


Because the Journey Deuce does not span the full width of the knee, surgeons do not sacrifice the anterior and posterior cruciate ligaments during the surgery. These two ligaments contribute to the normal, stable feeling of a natural knee, whether one is engaging in rigorous physical activity or simply getting up from a chair. Total knee replacements, on the other hand, cut these ligaments, but cannot fully replace their function.


Since the Journey Deuce spares bone on both the femur and the tibia, young, active patients now have an early intervention solution for their knee pain. Typically, surgeons try to delay total knee replacement for their younger patients, because a potential revision procedure later in life can take a toll on physical activities before the patient is willing to give them up.


Deuce, on the other hand, can be revised by a standard total knee replacement, if needed. In other words, the patient may eventually receive the same implant he or she would have received anyway—but the treatment timeline has been pushed out to an older age, while the patient may regain an active, pain-free lifestyle in the meantime.


“The Deuce is a powerful new treatment option in the orthopedic arena,” says Dr. McCall, who performs the procedures in the recently renovated surgical suites at MRMC. “This minimally invasive technique can be a life-changing procedure for a large percentage of knee surgery candidates.”


Dr. McCall adds, “Patients want more than pain relief from their knee implant. They want lifestyle restoration. They want the most natural, normal motion possible. I believe the Deuce can be the right implant at the right time for younger patients with busy, active lifestyles.”