ClinicalTrials.gg
CompletedNCT03442231Journey UNIUpdated Nov 2, 2026Results posted

Journey™ UNI Post Market Clinical Follow-Up

An observational study in Non-inflammatory Degenerative Joint Disease, sponsored by Smith & Nephew, Inc.. Completed at 4 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by Smith & Nephew, Inc. · Observational

Updated Nov 2, 2026Now CompletedResults posted+8 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
131
Ages
18 Years and older
Sex
All
01

Study summary

This is a retrospective/prospective, open-label single cohort, multicenter study to collect relevant clinical data from subjects with unicompartmental degeneration of the knee in whom the Journey UNI UKS was previously implanted.

Read the detailed description

The purpose of the current investigation is to assess the safety and effectiveness of the JOURNEY UNI Unicompartmental Knee System (UKS) in patients with non-inflammatory degenerative joint disease (NIDJD) of the knee who previously had the Journey UNI UKS implanted. This clinical study will prospectively evaluate the 36 and 60-month safety and performance of the JOURNEY UNI UKS in patients with NIDJD of the knee who required lateral or medial knee compartment replacement.

02

Conditions studied

  • Non-inflammatory Degenerative Joint Disease

Keywords

  • osteoarthritis
  • traumatic arthritis
  • avascular necrosis
03

In context

Osteoarthritis

2,974 studies on the registry are indexed under Osteoarthritis; 438 are open to participants now.

This study's enrollment of 131 is above the median of 100 across 601 observational studies indexed under Osteoarthritis.

Browse Osteoarthritis studies →

Lead sponsor

Smith & Nephew, Inc. is the lead sponsor of 134 studies on the registry; 11 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 10 (91%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

The criteria were revised on the registry on Nov 2, 2026. See what changed

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Investigators will pre-screen all subjects that have previously undergone UKA using the Journey UNI UKS system between 12 and 48 months previously using only the existing information in the medical records.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Between 12 and 48 months previously, subject had unicompartmental knee replacement implanted for unicompartmental, NIDJD including OA, traumatic arthritis, avascular necrosis, for correction of functional deformity, or to repair a fracture that was unmanageable using other techniques.
  2. Subject received a JOURNEY UNI UKS implant (consisting of a femoral component, tibial baseplate, and a tibial insert).
  3. Subject was considered skeletally mature at the time of surgery and was at least 18 years of age.
  4. Subject is willing to have retrospective data collected and to participate in required prospective follow-up visit(s) at the site and to complete study procedures and questionnaires.
  5. Subject has consented to participate in the study by signing the Institutional Review Board (IRB)/Ethics Committee (EC)-approved form (ICF).

Exclusion criteria

Exclusion Criteria:

  1. Subject has (BMI) > 40 within 1 month of surgery.
  2. Subjects who have received the Journey UNI UKS as part of a revision surgery.
  3. Subject has a condition that may interfere with the unicompartmental knee arthroplasty (UKA) survival or outcome (e.g. Paget's or Charcot's disease, vascular insufficiency, muscular atrophy, uncontrolled diabetes, moderate to severe renal insufficiency or neuromuscular disease).
  4. Subject has a known allergy to study device or one or more of its components.
  5. Subject, in the opinion of the Principal Investigator (PI), has an emotional or neurological condition that would preempt his/her ability or willingness to participate in the study including mental illness, mental retardation, drug or alcohol abuse.
  6. Subject is entered in another drug, biologic, or device study or has been treated with an investigational product in the past 30 days.
  7. Subject is known to be at risk for loss to follow-up, or failure to return for scheduled visits.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
131 participants (actual)
Patient registry
No

Groups and cohorts

  • Journey™ UNI Unicompartmental Knee System

    Subjects previously received knee replacement

    Device: Journey UNI Unicompartmental Knee System

Interventions

  • DeviceJourney UNI Unicompartmental Knee System

    Lateral or medial knee compartment replacement

06

What researchers measure

Primary outcomes

  1. Implant Survival

    Revision-free implant survival at 5 years was determined by the proportion of participant knees with device survival. Revision-free implant survival was measured by a Kaplan-Meier survival estimate with survival defined as the absence of implant failure by the 5-year time point.

    Time frame: 5 years

Secondary outcomes

  1. 2011 Knee Society Score (KSS): Objective Knee Score

    The 2011 Knee Society Score consists of 4 separate sub-scales. The "Objective" Knee Score is seven items with a range of 0 to 111, with a higher score indicating a better outcome.

    Time frame: Baseline, 1 year, 3 years, 5 years

  2. 2011 Knee Society Score (KSS): Expectation Score

    The 2011 Knee Society Score consists of 4 separate sub-scales. The Patient Expectation Score was three items with a range of 3 to 15 where higher scores indicated a better outcome. The Expectation score indicated the patient's opinion on the extent they expect the operation to improve their knee pain, and ability to perform activities of daily living and recreational activities.

    Time frame: Baseline, 1 year, 3 years, 5 years

  3. 2011 Knee Society Score (KSS): Satisfaction Knee Score

    The 2011 Knee Society Score consists of 4 separate sub-scales. The Patient Satisfaction Score is five items with a range of 0 to 40, with a higher score indicating a better outcome.

    Time frame: Baseline, 1 year, 3 years, 5 years

  4. 2011 Knee Society Score (KSS): Functional Score

    The 2011 Knee Society Score consists of 4 separate sub-scales. The Functional Score is nineteen items with a range of 0 to 100, with a higher score indicating a better outcome. Functional Score is derived from assessments of walking and standing, standard activities, advanced activities, and discretionary activities.

    Time frame: Baseline, 1 year, 3 years, 5 years

  5. Five-level EuroQol Five-dimensional (EQ-5D-5L): Index Score

    The EQ-5D-5L score consists of two parts: a descriptive system and a visual analogue scale (VAS). The Quality of Life index (i.e., index score) is used to describe the participant's health state and consists of five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels to choose the most appropriate answer: no problems, slight problems, moderate problems, severe problems and extreme problems. The participant is asked to indicate their health state by marking the most appropriate statement in each of the five areas. The EQ-5D-5L Index Score was based on a US country code scale of -0.573 to 1, with higher index values indicating better health and lower index values indicating worse health.

    Time frame: 1 year, 3 years, 5 years

  6. Five-level EuroQol Five-dimensional (EQ-5D-5L): Visual Analogue Scale (VAS) Score

    The EQ-5D-5L score consists of two parts: a descriptive system and a visual analogue scale (VAS). The VAS records the participant's self-rated health on a vertical visual analogue scale. The scale ranges from 0 to 100 where 0 indicates 'The worst health you can imagine' and 100 indicates 'The best health you can imagine'.

    Time frame: 1 year, 3 years, 5 years

  7. Self-Administered Patient Satisfaction Survey (SAPSS): Surgery

    Self-Administered Patient Satisfaction Survey indicated the participants satisfaction with outcomes of joint replacement surgery across four domains of pain relief, home/yard work, recreational activities, and overall satisfaction by a response to a single question for each domain. Participants were categorized based on the question "How satisfied are you with the results of your surgery?" for the associated knee using one of the following responses: 1. Very satisfied 2. Somewhat satisfied 3. Somewhat dissatisfied 4. Very dissatisfied

    Time frame: 1 year, 3 years, 5 years

  8. Self-Administered Patient Satisfaction Survey (SAPSS): Pain

    Self-Administered Patient Satisfaction Survey indicated the participants satisfaction with outcomes of joint replacement surgery across four domains of pain relief, home/yard work, recreational activities, and overall satisfaction by a response to a single question for each domain. Participants were categorized based on the question "How satisfied are you with the results of your surgery for improving your pain?" for the associated knee using one of the following responses: 1. Very satisfied 2. Somewhat satisfied 3. Somewhat dissatisfied 4. Very dissatisfied

    Time frame: 1 year, 3 years, 5 years

  9. Self-Administered Patient Satisfaction Survey (SAPSS): Work

    Self-Administered Patient Satisfaction Survey indicated the participants satisfaction with outcomes of joint replacement surgery across four domains of pain relief, home/yard work, recreational activities, and overall satisfaction by a response to a single question for each domain. Participants were categorized based on the question "How satisfied are you with the results of surgery for improving your ability to do home or yard work?" for the associated knee using one of the following responses: 1. Very satisfied 2. Somewhat satisfied 3. Somewhat dissatisfied 4. Very dissatisfied

    Time frame: 1 year, 3 years, 5 years

  10. Self-Administered Patient Satisfaction Survey (SAPSS): Recreational Activities

    Self-Administered Patient Satisfaction Survey indicated the participants satisfaction with outcomes of joint replacement surgery across four domains of pain relief, home/yard work, recreational activities, and overall satisfaction by a response to a single question for each domain. Participants were categorized based on the question "How satisfied are you with the results of surgery for improving your ability to do recreational activities?" for the associated knee using one of the following responses: 1. Very satisfied 2. Somewhat satisfied 3. Somewhat dissatisfied 4. Very dissatisfied

    Time frame: 1 year, 3 years, 5 years

  11. Forgotten Joint Score (FJS)

    The Forgotten Joint Score (FJS) comprises measures for the assessment of joint-specific patient reported outcomes. Participants are asked to rate their awareness of their knee arthroplasty in 12 questions with a five point Likert response format: "Never", "almost never", "seldom", "sometimes" and "mostly". The item scores are summed and linearly transformed in a 0 to 100 scale with a high value reflecting the ability of the subject to forget about the replaced knee joint during the activities of daily living (i.e., a higher score is a better outcome).

    Time frame: 1 year, 3 years, 5 years

  12. Radiographic Findings: Mechanical Alignment

    Perform weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine the mechanical alignment in degrees.

    Time frame: Baseline, 6 months

  13. Radiographic Findings: Implant Loosening

    Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine loosening of the implant (Yes/No).

    Time frame: 1 year, 3 years, 5 years

  14. Radiographic Findings: Implant Subsidence/Migration

    Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine subsidence/migration of the implant (Yes/No).

    Time frame: 1 year, 3 years, 5 years

  15. Radiographic Findings: Stress Shielding

    Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine presence of stress shielding (Yes/No).

    Time frame: 1 year, 3 years, 5 years

  16. Radiographic Findings: Periprosthetic Fracture

    Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine periprosthetic fracture (Yes/No).

    Time frame: 1 year, 3 years, 5 years

  17. Radiographic Findings: Wear of Articulating Surfaces of Replacement Components

    Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine wear of the articulating surfaces of replacement components (Yes/No).

    Time frame: 1 year, 3 years, 5 years

  18. Radiographic Findings: Radiolucencies

    Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine if presence of radioloucencies were all negative (Yes/No). A 'Yes' response indicated no presence of radiolucent lines.

    Time frame: 6 months, 1 year, 3 years, 5 years

  19. Radiographic Findings: Femoral Zone Radiolucencies

    Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine if presence of femoral zone radioloucencies were all negative (Yes/No). A 'Yes' response indicated no presence of radiolucent lines in the femoral zone of the knee.

    Time frame: 6 months, 1 year, 3 years, 5 years

  20. Radiographic Findings: Anterior Medial-Lateral (ML) Zone Radiolucencies

    Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine if presence of anterior medial-lateral (ML) zone radioloucencies were all negative (Yes/No). A 'Yes' response indicated no presence of radiolucent lines in the anterior medial-lateral zone of the knee.

    Time frame: 6 months, 1 year, 3 years, 5 years

  21. Radiographic Findings: Lateral Medial-Lateral (ML) Zone Radiolucencies

    Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine if presence of lateral medial-lateral (ML) zone radioloucencies were all negative (Yes/No). A 'Yes' response indicated no presence of radiolucent lines in the lateral medial-lateral zone of the knee.

    Time frame: 6 months, 1 year, 3 years, 5 years

07

Results

Posted Nov 2, 2026
Limitations and caveats
The retrospective-prospective study design impacted data collection. Specifically, collection of retrospective data relied on availability of existing records and what was collected at each site as standard of care. This caused gaps in data collection for early Patient Reported Outcome Measures (PROM) and radiographic data.

Participant flow

Participants that previously underwent unicompartmental knee arthroplasty (UKA) using the study device were recruited across 4 investigative sites in the United States and Canada.

Participant flow — Overall Study
MilestoneJourney™ UNI Unicompartmental Knee System
Started129
Completed109
Not completed20
Withdrew: Adverse event1
Withdrew: Death1
Withdrew: Lost to follow-up7
Withdrew: Participant not able to return2
Withdrew: Withdrawal by subject9

Outcome measures

PrimaryImplant Survival

Revision-free implant survival at 5 years was determined by the proportion of participant knees with device survival. Revision-free implant survival was measured by a Kaplan-Meier survival estimate with survival defined as the absence of implant failure by the 5-year time point.

Time frame:
5 years
Reported as:
Number · proportion of knees
Implant Survival
proportion of kneesJourney™ UNI Unicompartmental Knee System
Implant Survival0.986 (0.945 to 0.996)
Secondary2011 Knee Society Score (KSS): Objective Knee Score

The 2011 Knee Society Score consists of 4 separate sub-scales. The "Objective" Knee Score is seven items with a range of 0 to 111, with a higher score indicating a better outcome.

Time frame:
Baseline, 1 year, 3 years, 5 years
Reported as:
Mean · score on a scale
2011 Knee Society Score (KSS): Objective Knee Score
score on a scaleJourney™ UNI Unicompartmental Knee System
Baseline39.80 ± 15.30
1 year84.64 ± 10.56
3 years87.93 ± 15.44
5 years89.73 ± 14.63
Secondary2011 Knee Society Score (KSS): Expectation Score

The 2011 Knee Society Score consists of 4 separate sub-scales. The Patient Expectation Score was three items with a range of 3 to 15 where higher scores indicated a better outcome. The Expectation score indicated the patient's opinion on the extent they expect the operation to improve their knee pain, and ability to perform activities of daily living and recreational activities.

Time frame:
Baseline, 1 year, 3 years, 5 years
Reported as:
Mean · score on a scale
2011 Knee Society Score (KSS): Expectation Score
score on a scaleJourney™ UNI Unicompartmental Knee System
Baseline13.89 ± 1.47
1 year10.21 ± 3.09
3 years9.98 ± 3.00
5 years10.24 ± 3.12
Secondary2011 Knee Society Score (KSS): Satisfaction Knee Score

The 2011 Knee Society Score consists of 4 separate sub-scales. The Patient Satisfaction Score is five items with a range of 0 to 40, with a higher score indicating a better outcome.

Time frame:
Baseline, 1 year, 3 years, 5 years
Reported as:
Mean · score on a scale
2011 Knee Society Score (KSS): Satisfaction Knee Score
score on a scaleJourney™ UNI Unicompartmental Knee System
Baseline13.39 ± 6.39
1 year31.83 ± 7.37
3 years33.70 ± 8.07
5 years34.13 ± 7.88
Secondary2011 Knee Society Score (KSS): Functional Score

The 2011 Knee Society Score consists of 4 separate sub-scales. The Functional Score is nineteen items with a range of 0 to 100, with a higher score indicating a better outcome. Functional Score is derived from assessments of walking and standing, standard activities, advanced activities, and discretionary activities.

Time frame:
Baseline, 1 year, 3 years, 5 years
Reported as:
Mean · score on a scale
2011 Knee Society Score (KSS): Functional Score
score on a scaleJourney™ UNI Unicompartmental Knee System
Baseline43.57 ± 12.35
1 year75.73 ± 16.24
3 years83.14 ± 15.29
5 years80.81 ± 18.55
SecondaryFive-level EuroQol Five-dimensional (EQ-5D-5L): Index Score

The EQ-5D-5L score consists of two parts: a descriptive system and a visual analogue scale (VAS). The Quality of Life index (i.e., index score) is used to describe the participant's health state and consists of five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels to choose the most appropriate answer: no problems, slight problems, moderate problems, severe problems and extreme problems. The participant is asked to indicate their health state by marking the most appropriate statement in each of the five areas. The EQ-5D-5L Index Score was based on a US country code scale of -0.573 to 1, with higher index values indicating better health and lower index values indicating worse health.

Time frame:
1 year, 3 years, 5 years
Reported as:
Mean · score on a scale
Five-level EuroQol Five-dimensional (EQ-5D-5L): Index Score
score on a scaleJourney™ UNI Unicompartmental Knee System
1 year0.84 ± 0.10
3 years0.88 ± 0.11
5 years0.88 ± 0.12
SecondaryFive-level EuroQol Five-dimensional (EQ-5D-5L): Visual Analogue Scale (VAS) Score

The EQ-5D-5L score consists of two parts: a descriptive system and a visual analogue scale (VAS). The VAS records the participant's self-rated health on a vertical visual analogue scale. The scale ranges from 0 to 100 where 0 indicates 'The worst health you can imagine' and 100 indicates 'The best health you can imagine'.

Time frame:
1 year, 3 years, 5 years
Reported as:
Mean · score on a scale
Five-level EuroQol Five-dimensional (EQ-5D-5L): Visual Analogue Scale (VAS) Score
score on a scaleJourney™ UNI Unicompartmental Knee System
1 year84.33 ± 10.55
3 years83.76 ± 14.53
5 years83.02 ± 13.12
SecondarySelf-Administered Patient Satisfaction Survey (SAPSS): Surgery

Self-Administered Patient Satisfaction Survey indicated the participants satisfaction with outcomes of joint replacement surgery across four domains of pain relief, home/yard work, recreational activities, and overall satisfaction by a response to a single question for each domain. Participants were categorized based on the question "How satisfied are you with the results of your surgery?" for the associated knee using one of the following responses: 1. Very satisfied 2. Somewhat satisfied 3. Somewhat dissatisfied 4. Very dissatisfied

Time frame:
1 year, 3 years, 5 years
Reported as:
Count of units · knees
Self-Administered Patient Satisfaction Survey (SAPSS): Surgery
kneesJourney™ UNI Unicompartmental Knee System
1 year — Very satisfied26
1 year — Somewhat satisfied7
1 year — Somewhat dissatisfied0
1 year — Very dissatisfied0
3 years — Very satisfied108
3 years — Somewhat satisfied16
3 years — Somewhat dissatisfied8
3 years — Very dissatisfied0
5 years — Very satisfied103
5 years — Somewhat satisfied8
5 years — Somewhat dissatisfied8
5 years — Very dissatisfied1
SecondarySelf-Administered Patient Satisfaction Survey (SAPSS): Pain

Self-Administered Patient Satisfaction Survey indicated the participants satisfaction with outcomes of joint replacement surgery across four domains of pain relief, home/yard work, recreational activities, and overall satisfaction by a response to a single question for each domain. Participants were categorized based on the question "How satisfied are you with the results of your surgery for improving your pain?" for the associated knee using one of the following responses: 1. Very satisfied 2. Somewhat satisfied 3. Somewhat dissatisfied 4. Very dissatisfied

Time frame:
1 year, 3 years, 5 years
Reported as:
Count of units · knees
Self-Administered Patient Satisfaction Survey (SAPSS): Pain
kneesJourney™ UNI Unicompartmental Knee System
1 year — Very satisfied25
1 year — Somewhat satisfied8
1 year — Somewhat dissatisfied0
1 year — Very dissatisfied0
3 years — Very satisfied104
3 years — Somewhat satisfied22
3 years — Somewhat dissatisfied6
3 years — Very dissatisfied1
5 years — Very satisfied103
5 years — Somewhat satisfied12
5 years — Somewhat dissatisfied3
5 years — Very dissatisfied2
SecondarySelf-Administered Patient Satisfaction Survey (SAPSS): Work

Self-Administered Patient Satisfaction Survey indicated the participants satisfaction with outcomes of joint replacement surgery across four domains of pain relief, home/yard work, recreational activities, and overall satisfaction by a response to a single question for each domain. Participants were categorized based on the question "How satisfied are you with the results of surgery for improving your ability to do home or yard work?" for the associated knee using one of the following responses: 1. Very satisfied 2. Somewhat satisfied 3. Somewhat dissatisfied 4. Very dissatisfied

Time frame:
1 year, 3 years, 5 years
Reported as:
Count of units · knees
Self-Administered Patient Satisfaction Survey (SAPSS): Work
kneesJourney™ UNI Unicompartmental Knee System
1 year — Very satisfied20
1 year — Somewhat satisfied13
1 year — Somewhat dissatisfied0
1 year — Very dissatisfied0
3 years — Very satisfied94
3 years — Somewhat satisfied30
3 years — Somewhat dissatisfied9
3 years — Very dissatisfied0
5 years — Very satisfied92
5 years — Somewhat satisfied20
5 years — Somewhat dissatisfied8
5 years — Very dissatisfied0
SecondarySelf-Administered Patient Satisfaction Survey (SAPSS): Recreational Activities

Self-Administered Patient Satisfaction Survey indicated the participants satisfaction with outcomes of joint replacement surgery across four domains of pain relief, home/yard work, recreational activities, and overall satisfaction by a response to a single question for each domain. Participants were categorized based on the question "How satisfied are you with the results of surgery for improving your ability to do recreational activities?" for the associated knee using one of the following responses: 1. Very satisfied 2. Somewhat satisfied 3. Somewhat dissatisfied 4. Very dissatisfied

Time frame:
1 year, 3 years, 5 years
Reported as:
Count of units · knees
Self-Administered Patient Satisfaction Survey (SAPSS): Recreational Activities
kneesJourney™ UNI Unicompartmental Knee System
1 year — Very satisfied17
1 year — Somewhat satisfied14
1 year — Somewhat dissatisfied2
1 year — Very dissatisfied0
3 years — Very satisfied93
3 years — Somewhat satisfied25
3 years — Somewhat dissatisfied14
3 years — Very dissatisfied1
5 years — Very satisfied81
5 years — Somewhat satisfied28
5 years — Somewhat dissatisfied8
5 years — Very dissatisfied3
SecondaryForgotten Joint Score (FJS)

The Forgotten Joint Score (FJS) comprises measures for the assessment of joint-specific patient reported outcomes. Participants are asked to rate their awareness of their knee arthroplasty in 12 questions with a five point Likert response format: "Never", "almost never", "seldom", "sometimes" and "mostly". The item scores are summed and linearly transformed in a 0 to 100 scale with a high value reflecting the ability of the subject to forget about the replaced knee joint during the activities of daily living (i.e., a higher score is a better outcome).

Time frame:
1 year, 3 years, 5 years
Reported as:
Mean · score on a scale
Forgotten Joint Score (FJS)
score on a scaleJourney™ UNI Unicompartmental Knee System
1 year50.00 ± 27.51
3 years62.97 ± 27.76
5 years66.63 ± 31.85
SecondaryRadiographic Findings: Mechanical Alignment

Perform weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine the mechanical alignment in degrees.

Time frame:
Baseline, 6 months
Reported as:
Mean · degrees
Radiographic Findings: Mechanical Alignment
degreesJourney™ UNI Unicompartmental Knee System
Baseline7.86 ± 2.76
SecondaryRadiographic Findings: Implant Loosening

Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine loosening of the implant (Yes/No).

Time frame:
1 year, 3 years, 5 years
Reported as:
Count of units · knees
Radiographic Findings: Implant Loosening
kneesJourney™ UNI Unicompartmental Knee System
1 year — Yes0
1 year — No86
3 years — Yes0
3 years — No135
5 years — Yes0
5 years — No120
SecondaryRadiographic Findings: Implant Subsidence/Migration

Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine subsidence/migration of the implant (Yes/No).

Time frame:
1 year, 3 years, 5 years
Reported as:
Count of units · knees
Radiographic Findings: Implant Subsidence/Migration
kneesJourney™ UNI Unicompartmental Knee System
1 year — Yes0
1 year — No86
3 years — Yes1
3 years — No134
5 years — Yes1
5 years — No119
SecondaryRadiographic Findings: Stress Shielding

Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine presence of stress shielding (Yes/No).

Time frame:
1 year, 3 years, 5 years
Reported as:
Count of units · knees
Radiographic Findings: Stress Shielding
kneesJourney™ UNI Unicompartmental Knee System
1 year — Yes0
1 year — No86
3 years — Yes0
3 years — No135
5 years — Yes0
5 years — No120
SecondaryRadiographic Findings: Periprosthetic Fracture

Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine periprosthetic fracture (Yes/No).

Time frame:
1 year, 3 years, 5 years
Reported as:
Count of units · knees
Radiographic Findings: Periprosthetic Fracture
kneesJourney™ UNI Unicompartmental Knee System
1 year — Yes0
1 year — No86
3 years — Yes0
3 years — No135
5 years — Yes0
5 years — No120
SecondaryRadiographic Findings: Wear of Articulating Surfaces of Replacement Components

Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine wear of the articulating surfaces of replacement components (Yes/No).

Time frame:
1 year, 3 years, 5 years
Reported as:
Count of units · knees
Radiographic Findings: Wear of Articulating Surfaces of Replacement Components
kneesJourney™ UNI Unicompartmental Knee System
1 year — Yes0
1 year — No86
3 years — Yes0
3 years — No135
5 years — Yes0
5 years — No120
SecondaryRadiographic Findings: Radiolucencies

Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine if presence of radioloucencies were all negative (Yes/No). A 'Yes' response indicated no presence of radiolucent lines.

Time frame:
6 months, 1 year, 3 years, 5 years
Reported as:
Count of units · knees
Radiographic Findings: Radiolucencies
kneesJourney™ UNI Unicompartmental Knee System
6 months — Radiolucencies All Negative: No17
6 months — Radiolucencies All Negative: Yes124
1 year — Radiolucencies All Negative: No27
1 year — Radiolucencies All Negative: Yes60
3 years — Radiolucencies All Negative: No48
3 years — Radiolucencies All Negative: Yes87
5 years — Radiolucencies All Negative: No33
5 years — Radiolucencies All Negative: Yes87
SecondaryRadiographic Findings: Femoral Zone Radiolucencies

Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine if presence of femoral zone radioloucencies were all negative (Yes/No). A 'Yes' response indicated no presence of radiolucent lines in the femoral zone of the knee.

Time frame:
6 months, 1 year, 3 years, 5 years
Reported as:
Count of units · knees
Radiographic Findings: Femoral Zone Radiolucencies
kneesJourney™ UNI Unicompartmental Knee System
6 months — Femoral Zone Radiolucencies All Negative: No9
6 months — Femoral Zone Radiolucencies All Negative: Yes132
1 year — Femoral Zone Radiolucencies All Negative: No14
1 year — Femoral Zone Radiolucencies All Negative: Yes73
3 years — Femoral Zone Radiolucencies All Negative: No33
3 years — Femoral Zone Radiolucencies All Negative: Yes102
5 years — Femoral Zone Radiolucencies All Negative: No19
5 years — Femoral Zone Radiolucencies All Negative: Yes101
SecondaryRadiographic Findings: Anterior Medial-Lateral (ML) Zone Radiolucencies

Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine if presence of anterior medial-lateral (ML) zone radioloucencies were all negative (Yes/No). A 'Yes' response indicated no presence of radiolucent lines in the anterior medial-lateral zone of the knee.

Time frame:
6 months, 1 year, 3 years, 5 years
Reported as:
Count of units · knees
Radiographic Findings: Anterior Medial-Lateral (ML) Zone Radiolucencies
kneesJourney™ UNI Unicompartmental Knee System
6 months — Anterior Medial-Lateral (ML) Zone Radiolucencies All Negative: No4
6 months — Anterior Medial-Lateral (ML) Zone Radiolucencies All Negative: Yes137
1 year — Anterior Medial-Lateral (ML) Zone Radiolucencies All Negative: No15
1 year — Anterior Medial-Lateral (ML) Zone Radiolucencies All Negative: Yes72
3 years — Anterior Medial-Lateral (ML) Zone Radiolucencies All Negative: No19
3 years — Anterior Medial-Lateral (ML) Zone Radiolucencies All Negative: Yes116
5 years — Anterior Medial-Lateral (ML) Zone Radiolucencies All Negative: No14
5 years — Anterior Medial-Lateral (ML) Zone Radiolucencies All Negative: Yes106
SecondaryRadiographic Findings: Lateral Medial-Lateral (ML) Zone Radiolucencies

Performed weight-bearing antero-posterior (A/P) and lateral standard x-rays to determine if presence of lateral medial-lateral (ML) zone radioloucencies were all negative (Yes/No). A 'Yes' response indicated no presence of radiolucent lines in the lateral medial-lateral zone of the knee.

Time frame:
6 months, 1 year, 3 years, 5 years
Reported as:
Count of units · knees
Radiographic Findings: Lateral Medial-Lateral (ML) Zone Radiolucencies
kneesJourney™ UNI Unicompartmental Knee System
6 months — Lateral Medial-Lateral (ML) Zone Radiolucencies All Negative: No6
6 months — Lateral Medial-Lateral (ML) Zone Radiolucencies All Negative: Yes135
1 year — Lateral Medial-Lateral (ML) Zone Radiolucencies All Negative: No6
1 year — Lateral Medial-Lateral (ML) Zone Radiolucencies All Negative: Yes81
3 years — Lateral Medial-Lateral (ML) Zone Radiolucencies All Negative: No11
3 years — Lateral Medial-Lateral (ML) Zone Radiolucencies All Negative: Yes124
5 years — Lateral Medial-Lateral (ML) Zone Radiolucencies All Negative: No18
5 years — Lateral Medial-Lateral (ML) Zone Radiolucencies All Negative: Yes102

Adverse events

Collected over Adverse events were collected during surgery to the last visit at 60 (±12) months.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Journey™ UNI Unicompartmental Knee System1/129 (0.8%)35/129 (27.1%)52/129 (40.3%)
Most frequent serious events
Showing 10 of 17
Most frequent serious events
EventJourney™ UNI Unicompartmental Knee System
SkeletalMusculoskeletal and connective tissue disorders11/129
Injury, poisoning, or consequence of external causesInjury, poisoning and procedural complications4/129
Muscular/Connective Tissue (generic musculoskeletal)Musculoskeletal and connective tissue disorders4/129
Pain, unknown etiologyGeneral disorders4/129
Cancer, known originNeoplasms benign, malignant and unspecified (incl cysts and polyps)3/129
InfectionInfections and infestations3/129
RespiratoryRespiratory, thoracic and mediastinal disorders2/129
Stiffness/limitation in movementInjury, poisoning and procedural complications2/129
Cancer, unknown typeNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/129
CystNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/129
Most frequent other events
Showing 10 of 29
Most frequent other events
EventJourney™ UNI Unicompartmental Knee System
Muscular/Connective Tissue (generic musculoskeletal)Musculoskeletal and connective tissue disorders21/129
Pain at op site or in study kneeInjury, poisoning and procedural complications9/129
EffusionInjury, poisoning and procedural complications8/129
Injury, poisoning, or consequence of external causesInjury, poisoning and procedural complications6/129
SkeletalMusculoskeletal and connective tissue disorders6/129
Digestive/GastrointestinalGastrointestinal disorders5/129
SwellingInjury, poisoning and procedural complications5/129
Lateral knee painInjury, poisoning and procedural complications4/129
Postoperative Flexion DeficitInjury, poisoning and procedural complications4/129
Pain, unknown etiologyGeneral disorders3/129

Baseline characteristics

Participants in the Intent to Treat (ITT) population included those that received study treatment with post-baseline data collected.

Age, Continuous
Age, Continuous(years)Journey™ UNI Unicompartmental Knee System
Mean67.09 ± 8.62
Sex: Female, Male
Sex: Female, Male(Participants)Journey™ UNI Unicompartmental Knee System
Female67
Male62
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Journey™ UNI Unicompartmental Knee System
Hispanic or Latino1
Not Hispanic or Latino122
Unknown or Not Reported6
Bilateral Status
Bilateral Status(Participants)Journey™ UNI Unicompartmental Knee System
Bilateral15
Unilateral114
Unknown0
Body Mass Index
Body Mass Index(kg/m^2)Journey™ UNI Unicompartmental Knee System
Mean29.04 ± 4.21
08

Study locations

4 sites
  • Orthopaedic Specialists of Central Arizona-Scottsdale
    Scottsdale, Arizona 85255, United States
  • Illinois Bone and Joint Institute
    Park Ridge, Illinois 60068, United States
  • Tennessee Orthopedic Alliance, P.A.
    Nashville, Tennessee 37209, United States
  • London Health Sciences Centre-University Hospital
    London, Ontario N6A5A5, Canada
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

1 registry update since Sep 25, 2026
Status
Active, not recruiting→Completed
changed Nov 2, 2026
Results
Results posted
posted Nov 2, 2026
Sites
2 sites added, 2 sites removed
Show 2 added (2 United States)
  • Illinois Bone and Joint Institute · Park Ridge, United States
  • Tennessee Orthopedic Alliance, P.A. · Nashville, United States
Show 2 removed
  • Orthopaedic Surgery Specialists, Ltd. · Park Ridge, United States
  • Tennesee Orthopaedic Alliance, P.A. · Nashville, United States
Nov 2, 2026
Primary completion
Apr 11, 2025→Jan 25, 2024 (actual)
Nov 2, 2026
Study completion
Apr 11, 2025→Jan 25, 2024 (actual)
Nov 2, 2026
Enrollment
147→131
Nov 2, 2026
Eligibility
1 inclusion criterion edited
What changed in the criteria
Inclusion criteria
  • EditedSubject received a JourneyJOURNEY UNI UKS implant (consisting of a femoral component, tibial baseplate, and a tibial insert).
Nov 2, 2026
Primary outcomes
1 edited
What changed in the outcomes
  • EditedImplant survival rateSurvivalTime frame: 5 years
Nov 2, 2026
Documents
Secondary outcomes
21 added, 6 removed
What changed in the outcomes
  • Added2011 Knee Society Score (KSS): Objective Knee ScoreTime frame: Baseline, 1 year, 3 years, 5 years
  • Added2011 Knee Society Score (KSS): Expectation ScoreTime frame: Baseline, 1 year, 3 years, 5 years
  • Added2011 Knee Society Score (KSS): Satisfaction Knee ScoreTime frame: Baseline, 1 year, 3 years, 5 years
  • Added2011 Knee Society Score (KSS): Functional ScoreTime frame: Baseline, 1 year, 3 years, 5 years
  • AddedFive-level EuroQol Five-dimensional (EQ-5D-5L): Index ScoreTime frame: 1 year, 3 years, 5 years
  • AddedFive-level EuroQol Five-dimensional (EQ-5D-5L): Visual Analogue Scale (VAS) ScoreTime frame: 1 year, 3 years, 5 years
  • AddedSelf-Administered Patient Satisfaction Survey (SAPSS): SurgeryTime frame: 1 year, 3 years, 5 years
  • AddedSelf-Administered Patient Satisfaction Survey (SAPSS): PainTime frame: 1 year, 3 years, 5 years
  • AddedSelf-Administered Patient Satisfaction Survey (SAPSS): WorkTime frame: 1 year, 3 years, 5 years
  • AddedSelf-Administered Patient Satisfaction Survey (SAPSS): Recreational ActivitiesTime frame: 1 year, 3 years, 5 years
  • AddedForgotten Joint Score (FJS)Time frame: 1 year, 3 years, 5 years
  • AddedRadiographic Findings: Mechanical AlignmentTime frame: Baseline, 6 months
  • AddedRadiographic Findings: Implant LooseningTime frame: 1 year, 3 years, 5 years
  • AddedRadiographic Findings: Implant Subsidence/MigrationTime frame: 1 year, 3 years, 5 years
  • AddedRadiographic Findings: Stress ShieldingTime frame: 1 year, 3 years, 5 years
  • AddedRadiographic Findings: Periprosthetic FractureTime frame: 1 year, 3 years, 5 years
  • AddedRadiographic Findings: Wear of Articulating Surfaces of Replacement ComponentsTime frame: 1 year, 3 years, 5 years
  • AddedRadiographic Findings: RadiolucenciesTime frame: 6 months, 1 year, 3 years, 5 years
  • AddedRadiographic Findings: Femoral Zone RadiolucenciesTime frame: 6 months, 1 year, 3 years, 5 years
  • AddedRadiographic Findings: Anterior Medial-Lateral (ML) Zone RadiolucenciesTime frame: 6 months, 1 year, 3 years, 5 years
  • AddedRadiographic Findings: Lateral Medial-Lateral (ML) Zone RadiolucenciesTime frame: 6 months, 1 year, 3 years, 5 years
  • RemovedQuality of Life - KSSTime frame: 5 Years
  • RemovedQuality of Life - EQ-5D - 3LTime frame: 5 Years
  • RemovedQuality of Life - SAPSSTime frame: 5 Years
  • RemovedQuality of Life - Forgotten Joint ScoreTime frame: 5 Years
  • RemovedAdverse Events (AEs)Time frame: 5 Years
  • RemovedRadiographic OutcomesTime frame: 5 Years
Nov 2, 2026
Show all 1 update
  1. Nov 2, 2026
    Active, not recruiting→Completed
    Results posted
    2 sites added, 2 sites removed
    Show 2 added (2 United States)
    • Illinois Bone and Joint Institute · Park Ridge, United States
    • Tennessee Orthopedic Alliance, P.A. · Nashville, United States
    Show 2 removed
    • Orthopaedic Surgery Specialists, Ltd. · Park Ridge, United States
    • Tennesee Orthopaedic Alliance, P.A. · Nashville, United States
    Primary completion Apr 11, 2025→Jan 25, 2024 (now actual)
    Study completion Apr 11, 2025→Jan 25, 2024 (now actual)
    Enrollment 147→131
    Eligibility 1 inclusion criterion edited
    What changed in the criteria
    Inclusion criteria
    • EditedSubject received a JourneyJOURNEY UNI UKS implant (consisting of a femoral component, tibial baseplate, and a tibial insert).
    Primary outcomes 1 edited
    What changed in the outcomes
    • EditedImplant survival rateSurvivalTime frame: 5 years
    Secondary outcomes 21 added, 6 removed
    What changed in the outcomes
    • Added2011 Knee Society Score (KSS): Objective Knee ScoreTime frame: Baseline, 1 year, 3 years, 5 years
    • Added2011 Knee Society Score (KSS): Expectation ScoreTime frame: Baseline, 1 year, 3 years, 5 years
    • Added2011 Knee Society Score (KSS): Satisfaction Knee ScoreTime frame: Baseline, 1 year, 3 years, 5 years
    • Added2011 Knee Society Score (KSS): Functional ScoreTime frame: Baseline, 1 year, 3 years, 5 years
    • AddedFive-level EuroQol Five-dimensional (EQ-5D-5L): Index ScoreTime frame: 1 year, 3 years, 5 years
    • AddedFive-level EuroQol Five-dimensional (EQ-5D-5L): Visual Analogue Scale (VAS) ScoreTime frame: 1 year, 3 years, 5 years
    • AddedSelf-Administered Patient Satisfaction Survey (SAPSS): SurgeryTime frame: 1 year, 3 years, 5 years
    • AddedSelf-Administered Patient Satisfaction Survey (SAPSS): PainTime frame: 1 year, 3 years, 5 years
    • AddedSelf-Administered Patient Satisfaction Survey (SAPSS): WorkTime frame: 1 year, 3 years, 5 years
    • AddedSelf-Administered Patient Satisfaction Survey (SAPSS): Recreational ActivitiesTime frame: 1 year, 3 years, 5 years
    • AddedForgotten Joint Score (FJS)Time frame: 1 year, 3 years, 5 years
    • AddedRadiographic Findings: Mechanical AlignmentTime frame: Baseline, 6 months
    • AddedRadiographic Findings: Implant LooseningTime frame: 1 year, 3 years, 5 years
    • AddedRadiographic Findings: Implant Subsidence/MigrationTime frame: 1 year, 3 years, 5 years
    • AddedRadiographic Findings: Stress ShieldingTime frame: 1 year, 3 years, 5 years
    • AddedRadiographic Findings: Periprosthetic FractureTime frame: 1 year, 3 years, 5 years
    • AddedRadiographic Findings: Wear of Articulating Surfaces of Replacement ComponentsTime frame: 1 year, 3 years, 5 years
    • AddedRadiographic Findings: RadiolucenciesTime frame: 6 months, 1 year, 3 years, 5 years
    • AddedRadiographic Findings: Femoral Zone RadiolucenciesTime frame: 6 months, 1 year, 3 years, 5 years
    • AddedRadiographic Findings: Anterior Medial-Lateral (ML) Zone RadiolucenciesTime frame: 6 months, 1 year, 3 years, 5 years
    • AddedRadiographic Findings: Lateral Medial-Lateral (ML) Zone RadiolucenciesTime frame: 6 months, 1 year, 3 years, 5 years
    • RemovedQuality of Life - KSSTime frame: 5 Years
    • RemovedQuality of Life - EQ-5D - 3LTime frame: 5 Years
    • RemovedQuality of Life - SAPSSTime frame: 5 Years
    • RemovedQuality of Life - Forgotten Joint ScoreTime frame: 5 Years
    • RemovedAdverse Events (AEs)Time frame: 5 Years
    • RemovedRadiographic OutcomesTime frame: 5 Years
    + 3 other changes: description, contact details and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

11

Registry details

Key details

Study ID
NCT03442231
Responsible party
Sponsor
First posted
Feb 22, 2018
Start date
Apr 11, 2018
Primary completion
Jan 25, 2024
Completion
Jan 25, 2024
Results posted
Nov 2, 2026
Last update
Nov 2, 2026

Study contacts

Patricia McCracken
study chair · Smith & Nephew, Inc.

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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