The early outcomes of 2 newer-generation posterior cruciate ligament-retaining fixed-bearing total knee arthroplasty (TKA) implant designs were assessed to determine if a single sagittal radius femoral design has an advantage in obtaining earlier knee range of motion and function when compared with a contemporary multiradius femoral design. Total knee arthroplasty patients were prospectively randomized to receive either a single sagittal radius femoral design (n=50) or a multiradius femoral design (n=50). Knee extensor mechanism function after TKA with either a single sagittal radius or multiradius implant was comparable in contemporary posterior cruciate ligament-retaining TKA designs.