This disambiguation page lists articles associated with the title corail. Corail total hip system implants can be inserted with either a threaded retaining inserter or a nonthreaded inserter. It is shaped to resist both axial and torsional loosening forces. The collared corail femoral stems are available in both coxa vara and standard offset. Depuy synthes corail hip system product rationale and surgical technique.
However, the characteristics of implant coating and more. The highly polished surface of this stem is designed to reduce the amount of wear particles. The goal of total hip replncemcnt is to provide tlic patient with a painfree, well. The corail stem is a straight, tapered cementless stem that fills the metaphysis and proximal diaphysis in the mediolateral plane. The cemented corail stems share exactly the same broach envelope and instrumentation as the cementless corail stems. The corail hydroxyapatite hacoated cementless stem depuy orthopaedics inc, warsaw, in is the most commonly used cementless femoral stem in australia 5318 in 2017, 23% of total cementless. Corail stem long term results based upon the 15year artro. To prevent undersizing or varus positioning, the greater trochanter may be prepared with an osteotome to allow better insertion of the broaches.
In all cases, trialling should be performed to evaluate stem seating and stability. Corail hip is available in three stem options, a standard collarlesscollared stem, a high offset collarless stem, and a coxa vara collared stem and offers the appropriate neck segment to match up with the stem option. Corail stem with an emphasis on periprosthetic remodel. Pdf cementless hemiarthroplasty in hip fracture surgery has been associated with poorer outcomes and. In the frontal plane, the stem s pronounced lateral flare. Corail hip system extraction of a corail stem surgical technique depuy synthes 1 given the excellent longterm results of the corail stem,1,2,3 its extraction is a rare occurrence. Corail hip system product rationale and surgical technique depuy synthes 12 thr following femoral neck fracture consistently leads to reduced postoperative pain. Corail, imt, profile and zweyuller stems with revision for loosening marathoncorail versus pinnaclecorail the safety and scientific validity of this study is the responsibility of the study sponsor and investigators.
The collared stem is used in poor quality bone to prevent subsidence. All hacoated femoral stems were extracted from a regional implant retrieval database, resulting in a total of 46 retrievals. Corail arrondissement, arrondissement in grandanse, haiti. Pdf the concept of an extensive hydroxyapatite ha coating for the fixation of a. In our study, survival of the corail standard stem free of revision for aseptic loosening was 98% at 12 years. Stem adheres to the core design principles of the philosophy. The null hypothesis is that there is no difference in migration rates of the corail or polar stems at 2 years. Use of the corail stem for revision total hip arthroplasty. The value of uncemented fixation using hacoated implants is now widely admitted. Listing a study does not mean it has been evaluated by the u. This is an important step as the philosophy of the corail stem is based on bone preservation. The extended corail hip system features a wide range of primary cementless stems and provide a comprehensive platform to treat the majority of cases. Survivorships of small cementless femoral stems are. Today we face an exciting new era, and we look forward with.
Standard and high offset options are available for each stem size. Postoperative fill parameters such as mean stemtocanal ratios and mean minimum and maximum gaps between the stems to the cortical bone in different sections and areas were compared. The stems are manufactured from titanium allay ti6al4 v andi plasmasprayed witha. It may also add some amount of rotational stability in these patients. Please refer to the package insert and other labeling for a complete list of indications, contraindications, precautions and warnings. A prospective, randomised, single centre clinical study comparing cementless polar stem and the cementless corail stem in total hip replacement acronym. Pdf the corail r stem for the treatment of displaced femoral. Risk factors for intraoperative proximal femoral fracture. The corail stem is made of forged titanium alloy tial6v4. It is a straight implant, with a quadrangular cross section.
Both inserters provide rotational control during stem implantation. The study will also measure micromotion trl corail, trilock and deltamotion components, patient reported outcome measures and change in bone density. The position of the femoral component is dictated in part by the native femoral neck anteversion, but the final position of the bestfit stem is a compromise of fitting a straight stem down the canal of the. Corail primary stem corail revision stem type 1 type 2 type 3a type 3b type 4 reef long distally locked stem 5 for total hip arthroplasty, a common defect. The corail revision stem is designed to achieve secure initial and longterm mechanical fixation in the femur. The corail femoral stem is a tapered titanium stem with a proximal flared design allowing for a 3dimensional metaphyseal fit. Product rationale and surgical technique corail pinnacle. Older models of the corail stem have good longterm survivorship. The implanted prosthetic components were identical on the femoral side. Overview of cementless stems in total hip arthroplasty. The corail revision stem features two distal slots, that are designed to. Sakalkale dp et al pinnacle acetabular cup system manufacturer. Each corail stem is fully coated with 155 microns of hydroxyapatite.
The trilock bone preservation stem is an uncemented tapered wedge design primary hip replacement stem. If you produce or play your own tracks, or if you are involved in the sale or distribution of music, download this version of the free stem creator below to get started making stems. The corail stem extramedullary geometry is designed for extended range of motion to provide increased stability reducing the risk of dislocation and revision surgery. The nonporous corail amt hip stem is indicated for cementless use only. Subsidence in collarless corail hip replacement ncbi.
Creating stem files is quick and easy with the free stem creator a simple, standalone application built for stem file authoring. The study will also measure micromotion of corail, trilock and deltamotion components, patient reported trii measures and change in bone density. Prior to using either inserter, the corail stem should be inserted by hand into the femoral canal with 1. Collared and collarless versions of corail depuy synthes, warsaw, in were.
The corail revision stem is an evolution of the kar stem, specifically for revision surgery. The reduced lateral shoulder, thin geometry and optimized length compared to the original trilock stem minimize the amount of bone removed from. Based on similarities in indications, intended use, design, materials. The choice between a collared and a collarless femoral stem. No significative difference was noted between the groups for survivorship free of stem aseptic loosening p0. The corail amt hip prosthesis is a modification of the corail amt hip prostheses that were cleared in k042992. The collared stem is used in poor quality bone to prevent. The purpose of this study was to assess whether subsidence occurs in collarless corail hip replacement cchr and to.
Device description the corail amt hlip is a tapered stem available bath collarless and collared. The corail stem can be used effectively for the treatment of femoral neck fractures in the elderly. In the current study, the corail stem, anterolateral modified hardinge approach, advanced age, and low metaphysealdiaphyseal index score were significant independent risk factors for. Survival free of any revision or stem removal was 95% at 12 years.
Pdf twentyyear results of the cementless corail stem. Further analysis using different femoral stem designs preferably from different manufactures is recommended. With the corail broach in situ, attach one of the three neck segment options. Irrigate, clean and dry the prosthesis to ensure the taper is free of debris. More than twenty years ago, we began a revolution with the use of ha in orthopaedics. Native femoral anteversion should not be used as reference. Influence of collars on the primary stability of cementless femoral. Total hip replacement revision in a single brand small. Retaining wellfixed cementless stem in the treatment of. The avenir cemented stem offers a consistent combination of a linetoline broaching technique with a linetoline cementing technique.
22 912 1180 154 573 937 1451 1155 558 1211 1157 1217 222 1272 53 744 875 555 1379 1003 1062 49 1557 204 134 660 1503 451 1273 54 804 1130 1248 585 634 221 250 830