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Corail Total Hip Arthroplasty

Robert K Whittaker, Harry S Hothi, Antti Eskelinen, Gordon W Blunn, John A Skinner, Alister J Hart
Material loss from the head-stem taper junction of total hip arthroplasty (THA) is implicated in adverse reactions to metal debris (ARMD); the mechanisms for this are multi-factorial. We investigated the relationship between the roughness of the 'as manufactured' taper surface and the wear rate from this junction. 50 retrieved Pinnacle metal-on-metal (MOM) bearings paired with a Corail stem were included in the study. Multivariable statistical analysis was performed to determine the influence of taper roughness on material loss rate after controlling for other confounding surgical, implant and patient factors...
October 5, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
A Merini, A Viste, R Desmarchelier, M-H Fessy
INTRODUCTION: Implant neck fracture involving a non-modular femoral stem is rare in primary total hip arthroplasty (THA). Occasional cases have been reported following laser etching of the Corail(tm) stem, but risk factors have not been precisely determined. We therefore performed a retrospective study on a series of Corail(tm) stems with laser neck etching, in order to: (1) determine the exact implant neck fracture rate at 10 years, and (2) identify associated risk factors. HYPOTHESIS: Laser etching increases the rate of implant neck fracture...
February 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
Jens G Boldt, Jean-Claude Cartillier, Alain Machenaud, Jean-Pierre Vidalain
We present a prospective study focused on radiographic long-term outcomes and bone remodeling at a mean of 17.0 years (range: 15 to 20) in 208 cementless fully HA-coated femoral stems (Corail, DePuy International Ltd, Leeds, UK). Total hip replacements in this study were performed by three members of the surgeon design group between 1986 and 1991. Radiographic evaluation focused on periprosthetic osteolysis, bone remodeling, osseous integration, subsidence, metaphyseal or diaphyseal load transfer, and femoral stress shielding...
November 2015: Surgical Technology International
Jean-Christophe Bel, Jean-Paul Carret
The purpose of this study was to investigate whether minimal invasive surgery (MIS) in elderly patients with neck of femur fractures would reduce the peri-operative complications and improve the post-operative ambulation and length of hospital stay in his cohort of patients. Forty elderly patients were treated with either total hip arthroplasty (THA) or bipolar prosthesis using MIS transgluteal approach. A matched reference group treated with a conventional surgical approach formed the control group. All procedures were performed by the same surgeon...
January 2015: Injury
O Cantin, A Viste, R Desmarchelier, J-L Besse, M H Fessy
BACKGROUND: Restoring the native hip anatomy increases hip prosthesis survival, whereas increased femoral lateralisation creates high torque stresses that may alter prosthesis fixation. After finding lucent lines around cementless lateralised stems (Corail™, DePuy Synthes, St Priest, France) in several patients, we evaluated the effects of lateralisation in a large case-series. The objective of our study was to compare lateralised vs standard stems of identical design in terms of radiological osteo-integration and survival...
November 2015: Orthopaedics & Traumatology, Surgery & Research: OTSR
M W Pennington, R Grieve, J H van der Meulen
There is little evidence on the cost effectiveness of different brands of hip prostheses. We compared lifetime cost effectiveness of frequently used brands within types of prosthesis including cemented (Exeter V40 Contemporary, Exeter V40 Duration and Exeter V40 Elite Plus Ogee), cementless (Corail Pinnacle, Accolade Trident, and Taperloc Exceed) and hybrid (Exeter V40 Trilogy, Exeter V40 Trident, and CPT Trilogy). We used data from three linked English national databases to estimate the lifetime risk of revision, quality-adjusted life years (QALYs) and cost...
June 2015: Bone & Joint Journal
M P Bonnin, C C Neto, T Aitsiselmi, C G Murphy, N Bossard, S Roche
The aim of this study was to investigate the relationship between the geometry of the proximal femur and the incidence of intra-operative fracture during uncemented total hip arthroplasty (THA). We studied the pre-operative CT scans of 100 patients undergoing THA with an uncemented femoral component. We measured the anteroposterior and mediolateral dimensions at the level of division of the femoral neck to calculate the aspect ratio of the femur. Wide variations in the shape of the femur were observed, from round, to very narrow elliptic...
June 2015: Bone & Joint Journal
Martin C Bone, Raghavendra P Sidaginamale, James K Lord, Susan C Scholes, Thomas J Joyce, Anthony V F Nargol, David J Langton
In contrast to the articulating and taper surfaces of failed total hip replacements, volumetric wear analysis of trunnions is not routinely performed. Metal wear particles from the trunnion may contribute not only to the failures of metal-on-metal total hip replacements but also to all hip replacements utilising metal trunnions. A validation study was performed with the material removed in stages from the trunnions of an Exeter V40 stem, a Corail stem and an Accolade stem to simulate different magnitudes of wear...
January 2015: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
Truike M Thien, Georgios Chatziagorou, Göran Garellick, Ove Furnes, Leif I Havelin, Keijo Mäkelä, Søren Overgaard, Alma Pedersen, Antti Eskelinen, Pekka Pulkkinen, Johan Kärrholm
BACKGROUND: We used the Nordic Arthroplasty Register Association database to evaluate whether age, sex, preoperative diagnosis, fixation, and implant design influence the risk of revision arthroplasty due to periprosthetic fracture within two years from operation of a primary total hip replacement. METHODS: Included in the study were 325,730 cemented femoral stems and 111,899 uncemented femoral stems inserted from 1995 to 2009. Seven frequently used stems (two cemented stems [Exeter and Lubinus SP II] and five uncemented stems [Bi-Metric, Corail, CLS Spotorno, ABG I, and ABG II]) were specifically studied...
October 1, 2014: Journal of Bone and Joint Surgery. American Volume
Bob Jang, Nichola A Walsh, Warwick J M Bruce
PURPOSE: To assess the completeness of registration and any discrepancies between the senior author's database and the Australian Orthopaedic Association National Joint Replacement Registry (AOA NJRR). METHODS: From 2002 to 2005, the senior author performed 231 primary total hip arthroplasty (THA) on 217 patients using the Corail femoral stem and one of the 3 types of the acetabular component: Pinnacle, ASR, or Duraloc/Option. The name of each patient was forwarded to the AOA NJRR for matching and verification...
December 2013: Journal of Orthopaedic Surgery
M Junnila, I Kostensalo, P Virolainen, V Remes, M Matilainen, T Vahlberg, P Pulkkinen, A Eskelinen, A Itälä, K Mäkelä
BACKGROUND AND AIMS: Large headed metal-on-metal total hip arthroplasty may produce more metal ions than hip resurfacing arthroplasty. Increased metal-ion levels may be associated with higher revision rates due to adverse reaction to metal debris. The purpose of our study was to compare the survivorship of three hip resurfacing arthroplasty designs with their analogous cementless large-diameter head metal-on-metal total hip arthroplasties. MATERIAL AND METHODS: Based on data obtained from the Finnish Arthroplasty Register, the revision risks of three metal-on-metal hip resurfacing arthroplasty/total hip arthroplasty design couples performed during 2001-2011 were analyzed using the Cox regression model...
March 2014: Scandinavian Journal of Surgery: SJS
B J L Kendrick, H A Wilson, J E Lippett, A R McAndrew, A J M D Andrade
The National Institute for Health and Clinical Excellence (NICE) guidelines from 2011 recommend the use of cemented hemi-arthroplasty for appropriate patients with an intracapsular hip fracture. In our institution all patients who were admitted with an intracapsular hip fracture and were suitable for a hemi-arthroplasty between April 2010 and July 2012 received an uncemented prosthesis according to our established departmental routine practice. A retrospective analysis of outcome was performed to establish whether the continued use of an uncemented stem was justified...
November 2013: Bone & Joint Journal
Birger Valen
BACKGROUND: In the literature, the dislocation rate for hip prostheses is stated to be 2-3%. Dislocation may have several causes, such as aspects of the patient, the surgeon, the type of prosthesis or the operation. The objective of this study was to identify the frequency, causes and treatment of dislocation in our department. MATERIAL AND METHODS: The material encompasses all patients operated on with a hip prosthesis at the Department of Orthopaedics, Haugesund Hospital, from 1987 through 2011...
June 11, 2013: Tidsskrift for Den Norske Lægeforening: Tidsskrift for Praktisk Medicin, Ny Række
S S Jameson, P N Baker, J Mason, M Rymaszewska, P J Gregg, D J Deehan, M R Reed
The popularity of cementless total hip replacement (THR) has surpassed cemented THR in England and Wales. This retrospective cohort study records survival time to revision following primary cementless THR with the most common combination (accounting for almost a third of all cementless THRs), and explores risk factors independently associated with failure, using data from the National Joint Registry for England and Wales. Patients with osteoarthritis who had a DePuy Corail/Pinnacle THR implanted between the establishment of the registry in 2003 and 31 December 2010 were included within analyses...
June 2013: Bone & Joint Journal
Remi Philippot, Jean Francois Meucci, Bertrand Boyer, Frederic Farizon
We report the results of a 12-year follow-up retrospective series of 100 total hip arthroplasties using cementless, press-fit, dual-mobility acetabular cups. The aim of our study was to evaluate the clinical and radiographic results of this acetabular cup at last follow-up. This continuous and homogeneous series included 100 primary total hip arthroplasties performed during the year 2000. The THA combined a Corail® stem (Corail®, Depuy, Warsaw, IN) with a stainless steel Novae Sunfit® (Serf, Decines, France) acetabular cup...
September 2013: Surgical Technology International
C Delaunay, L Iovanescu, L Necas, R Hochgatterer, G Labek
INTRODUCTION: The goal of the Quality of Literature in Arthroplasty (QoLA) project launched in 2009 was to compare the implant results from clinical studies published in indexed scientific journals with those found in reference national registers. The potential biases in the chosen articles (country of origin, inventor involved in study, methodological quality) were systematically analyzed and the revisions per 100 observed component years (Revp100OCY) index was calculated. For a given implant, a differential factor greater than 3 between the Revp100OCY index for published series and the one from registers was considered as indicative of a potential selection (inventor) or publication (conflict of interest) bias...
May 2013: Orthopaedics & Traumatology, Surgery & Research: OTSR
Marek Drobniewski, Andrzej Borowski, Marek Synder, Marcin Sibiński
BACKGROUND: The aim of the study was to analyze results of hip arthroplasty with the use of the hydroxy-apatite-coated Corail stem. MATERIAL AND METHODS: The study group consisted of 134 patients (85 females and 49 males) who underwent 138 hip joint arthroplasties with the use of the Corail stem. The mean age of the patients at surgery was 56.8 years (range from 22 to 75 years). The mean follow-up period was 110.45 months. RESULTS: Before surgery all patients were calssified as poor according to the Merle d'Aubigne i Postela classification modified by Charnley...
January 2013: Ortopedia, Traumatologia, Rehabilitacja
Thord von Schewelov, Henrik Ahlborg, Lennart Sanzén, Jack Besjakov, Ake Carlsson
BACKGROUND: Today, dislocated femoral neck fractures are commonly treated with a cemented hip arthroplasty. However, cementing of the femoral component may lead to adverse effects and even death. Uncemented stems may lower these risks and hydroxyapatite (HA) coating may enhance integration, but prosthetic stability and clinical outcome in patients with osteoporotic bone have not been fully explored. We therefore studied fixation and clinical outcome in patients who had had a femoral neck fracture and who had received a fully HA-coated stem prosthesis...
April 2012: Acta Orthopaedica
Mohammad Faisal, Gethin Thomas, Stephen K Young
206 patients age 70 years or older who underwent uncemented total hip arthroplasty (THA) using the Corail stem were studied. Radiographs taken post operatively and at one year were measured for subsidence of the stem. 13 patients had subsidence of the femoral stem of more than 2 mm. 5 of these were associated with fractures (mean age 78.06 years--average subsidence 14.52 mm), while 8 did not have associated fractures (mean age 77.43 years--average subsidence 4.99 mm). These 13 patients were then followed up for an average of 25 months (with fractures) and 26...
May 2011: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Derek T Cawley, Paul D Curtin, Derek Lohan, Michael O'Sullivan, William Curtin
Cementless hemiarthroplasty in hip fracture surgery has been associated with poorer outcomes and more pain than cemented hemiarthroplasty. The aim was to investigate clinical and radiographic outcomes for a cementless tapered titanium fully hydroyxapatite-coated (Corail® System) stem in this consecutive cohort of hip fracture patients. We retrospectively evaluated the results of 68 consecutive elderly patients with displaced intracapsular hip fractures, treated with this implant. Mean clinical follow-up was 4...
March 2011: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
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