Biomet XP Knee Replacement Procedure

Patients suffering from knee pain resulting from osteoarthritis, rheumatoid arthritis or traumatic arthritis now have an alternative to total knee replacement surgery.

The Biomet Vanguard XP total knee system is a cruciate retaining design that allows for the posterior cruciate ligament (PCL) and the anterior cruciate ligament (ACL) to be preserved while incorporating geometry to accommodate and enable the natural function of the ligaments of the knee. This innovative technique and implant provides patients with a more stable joint and less recovery time.

In the spring of 2014, North Cypress Orthopedic Surgeon, Dr. James P. Fogarty became only the second surgeon in the Houston area certified to perform this procedure. The Vanguard XP knee system is the first and only of its kind on the market, and leaves the body’s important ligamentous structures in place to create a more anatomic and natural feeling knee replacement.

Because of their advanced experience and skill in both uni-compartmental and total knee replacement, surgeons, Dr. Fogarty and Dr. TJ Tanous are the first surgeons in the Northwest Texas area to offer this innovative procedure to patients who meet the clinical indication(s). They are using the latest image-guided technology with the Biomet Vanguard XP total knee system. Computer-guided technology uses a special computer to guide the surgeon’s bone resections, which provides more accurate bone cuts for a custom fit and better patient outcome. With this ligament-sparing XP knee procedure, most patients can return home the day following, or sometimes the same day, the surgery is performed.

For more information about the North Cypress Total Joint Center or the Biomet Vanguard XP procedure, call 832-912-9812.  


 The total knee that preserves your ACL.

Is the XP Preserving Knee right for you? Only your doctor can say for sure. But we can tell you this. In knees with a healthy, intact ACL, the XP Preserving Knee may be an option for patients requiring knee replacement.


What is the ACL? The Anterior Cruciate Ligament, most commonly known as the ACL, is crucial to knee movement and stability. When professional athletes damage their ACL, they get it repaired to help get them back in the game. It’s different with knee replacement. Most total knee replacements require surgeons to remove the ACL, even when it’s still healthy. These knee implants rely on implant design to provide knee stability and have provided excellent results for many patients. But at Biomet, we think you should be able to keep your healthy ligaments whenever possible. Our XP Preserving Knee enables surgeons to preserve healthy ligaments.


If you’re considering total knee replacement, ask yourself one important question: Why have your ACL removed if you don’t have to? The XP Preserving Knee allows your healthy ligaments to stay connected. Find out if the XP Preserving Knee is right for you.

Home Preparation for Joint Replacement Surgery

When you and your orthopedic surgeon decide that joint replacement surgery is the best option to relieve pain and restore motion, you will begin the normal preparation for surgery. You should notify your surgeon about any of the medications you are presently taking because some medications must be stopped before surgery. All surgeries carry certain risks and possible complications. Before surgery, your surgeon will explain the possible complications. Your orthopedic surgeon may ask you to see your primary care physician to make sure that you do not have any health conditions that may complicate your surgery. You may be asked to donate blood before your surgery. There are several options regarding blood donation and surgery, and all of these options should be explained to you. Surgery also requires anesthesia. There may be some options regarding anesthesia and they will be explained to you. Your options will be based on your health history, the medications you presently take, and the results of your physical examination. Your surgeon may also recommend that you start a strengthening program before surgery. The prescribed exercises are designed to help add strength, flexibility. Strengthening your muscles before surgery can assist your postoperative recovery. After knee replacement or other joint replacement surgery, your orthopedic surgeon will give you a specific recovery plan that you should carefully follow. Do not attempt exercises that are not prescribed by your surgeon, and do not attempt to alter your recovery schedule. It takes time for your joint to heal properly.

Planning ahead for your return home.

  • Launder all of your dirty clothing before your surgery. Have loose, comfortable clothing set aside for your recovery time.
  • Prepare single-serving meals before your surgery. These meals can be heated quickly in a microwave and there is less to clean up.
  • Be sure to remove loose rugs and other trip hazards such as electrical cords and magazine racks from walking paths to avoid accidents or falls. If necessary, widen furniture paths to accommodate a walker or cane.
  • To simplify accessibility, place regularly used items such as remote controls, medications, and reading materials in easy-to-reach locations.
  • Un-tuck bedding to allow for easier access in and out of your bed. If your bedroom is on a second floor, it may be helpful to temporarily relocate your sleeping arrangements to a single floor. This will avoid having to climb stairs when you are not feeling your best.
  • Having some assistance after total joint replacement can also be very beneficial. Contact family members or friends ahead of time so they may make the necessary arrangements to assist in your recovery.

Knee pain overview.

The knee is a type of hinge joint formed by the tibia (shinbone), femur (thighbone), and patella (kneecap). The ends of the bones in the knee joint are covered with cartilage, a tough, lubricating tissue that helps provide smooth, pain-free motion to the joint. Osteoarthritis, the most common form of arthritis, is a wear and tear condition that destroys joint cartilage, and it typically develops after years of constant motion and pressure in the joints. As the cartilage continues to wear away, bone begins to rub against bone, causing the irritation, swelling, stiffness, and discomfort commonly associated with arthritis. For more information about the North Cypress Total Joint Center or the Biomet Vanguard XP procedure, call 832-912-9812.

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