The corail hip system offers five different primary stems and a cemented stem. Sirius cemented femoral hip stem 4 templating procedure the aim of templating is to plan for correct size and position of the implants, to restore the hip center, femoral offset and leg length. Surgical approach and technique proximal or distal fixation. The effect of size for a hydroxyapatitecoated cementless. Collarless stem, corail stem, subsidence, femoral stem. Total hip replacement thr is one of the most commonly performed elective orthopaedic procedures in england 1 judge a, chard j, learmonth i, et al. The advanced features of the corail stem, and its bonepreserving surgical technique, have made it a great choice for minimally invasive hip surgery. Although numerous techniques have been described to successfully achieve. A trial head is used to perform a trial reduction to check for joint stability and leg length.
Figure 971 the corail hip system for revision surgery. This publication presents a basic technique with options for reaming and broaching. The corail stem as a reverse hybrid survivorship and xray. A collarless cementless and fully hydroxyapatitecoated stem was used in 118 cases corailks, depuy in 14 cases a high offset stem with a collar corail kla, depuy was used. Patients who underwent revision tha, tha due to femoral neck fracture or who received lateralized offset stems were excluded.
The corail hip system a practical approach based on 25. The first part discusses everything that is practical about the system, including the basic science, surgical technique. Accoladehfx cementlesshipsystem accoladetmzf cementlesshipsystem. Having performed 2000 plus anterior approach hip replacements himself. Corail hip system product rationale and surgical technique depuy synthes 12 thr following femoral neck fracture consistently leads to reduced postoperative pain.
The implanted prosthetic components were identical on the femoral side. Anteroposterior radiograph of a properly implanted porouscoated anthology stem surgical technique completed in conjunction with. The largest available study has shown in multivariate analysis that stem size is an independent predictor of revision surgery, with stems sized 810 having a 1. The proximal 40% of the stem body is circumferentially porous coated with titanium plasma spray to attain cementless, pressfit fixation. Each surgeon is responsible for determining the appropriate device and technique to utilize on each individual patient. Hip revision surgery may also involve the use of bone grafts. The manufacturers name and device references were laseretched on the anterior and posterior sides of the neck, as previously but now on a thinner neck.
Hcp content posted june 30, 2014 in emea and surgical techniques. Surgical technique of a corail stem in a narrow femur. Surgical technique of cemented total hip replacement duration. Stem survival for surgical revision due to aseptic loosening was 98% 95% ci. Longterm survivorship of the corail standard stem sciencedirect. The accolade ii hip system includes a broachonly instrumentation platform that accommodates all surgical approaches and has been streamlined for surgical efficiency. Total hip arthroplasty tha is one of the most successful surgical procedures performed worldwide. Impact of femoral stem design on failure after anterior.
In all cases, the stability of the stem must be achieved prior to inserting bone graft. Corail does not correlate with femoral neck resection height in. Once the stem is seated, cancellous bone from the resected femoral head or the box osteotome can be impacted around the proximal stem using a tamp. This book is designed as a practical manual to primary and revision arthroplasty that will serve both as a reference for surgeons in training and as a source of information, tips and tricks for the more experienced who wish to learn. More than twenty years ago, we began a revolution with the use of ha in orthopaedics. The long kar stem has developed from the successful corail primary hip, specifically for revision surgery. Biomets echo hip system offers three stem variations echo fx stem. Forged cobalt alloy cemented or pressfit stem echo pf stem. The stem and rasp designs, along with surgical technique work together to facilitate definitive seating and to potentially provide excellent initial implant stability. The pyramid hip stem is based upon an implant concept that proves good clinical results for more than 20 years. Learn more solution revision hip system surgical technique. Surgical technique pyramid hip stem atesos medical ag, schachenallee 29, ch5000 aarau lit.
The securfit advanced hip stem is suitable for various surgical approaches. Fitmore hip stem surgical technique 4 introduction the fitmore hip stem is a curved uncemented stem with a trapezoidal cross section, which is coated proximally with tivps titanium vacuum plasma spray and roughblasted distally. Hip revision surgery, which is also known as revision total hip arthroplasty, is a procedure in which the surgeon removes a previously implanted artificial hip joint, or prosthesis, and replaces it with a new prosthesis. The corail hip system, one of the first to use hydroxyapatite, was developed in 1986 as an innovative solution for hip arthroplasty. The surgery was carried out on sidelying patients through a posterior approach. Corail implants suit most femoral anatomies dorrtypes a, b and c. This system offers the surgeon a range of stems for mild to moderate situations making it suitable for the majority of revision cases. The cemented corail stems share exactly the same broach envelope and instrumentation as the cementless corail stems. The accolade ii hip system includes a broachonly instrumentation platform that accommodates all surgical approaches and has been streamlined for.
This series involved primary total hip replacements and bipolar arthroplasties were excluded. When using a common straight tapered implant, surgeons have little control about its final position. Hip revision surgery procedure, recovery, removal, pain. Amis surgical technique 4 hip knee spine navigation the anterior approach.
The choice of material, offset concept, sizing system and the design of the surface for the. Product rationale and surgical technique corail pinnacle. Cementless corailtm femoral stems with laser neck etching. The stem is designed for use with stryker v40 femoral heads and their compatible acetabular components. The goal of any technique selected is adequate visualization of both the acetabulum and the proximal femur so that a direct view down the femoral canal can be gained and the entire rim and depth of the acetabulum visualized. We therefore performed a retrospective study on a series of corail tm stems with laser neck etching, in order to.
The effects of surgical volumes and training centre status on outcomes following total joint replacement analysis of the hospital episode statistics for england j public health oxf. Using the cone proximal body component and the tapered distal stem also includes preparation for a bowed poroussplined distal stem. The proximal region of the stem is coated with purefix ha over a commercially pure titanium plasma spray substrate. Europe and has advanced the technique through training and education. The corail hip system le centre orthopedique santy. Today we face an exciting new era, and we look forward with confidence in sharing continued. Templating typically begins on the contralateral hip with a true ap radiograph figure 3. All procedures were in accordance with the ethical standards of the. The taperset hip system is designed for total or partial hip arthroplasty and is intended to be used with compat ible components of the consensus hip system.
The marriage of a stem design which impacted and preserved bone, was sympathetic to. The corail stem may be implanted using any of the contemporary less invasive approaches as well as the traditional surgical techniques for total hip arthroplasty. The securfit advanced hip stem is intended for cementless, pressfit application. For revision total hip arthroplasty, the indication should be confirmed during the procedure after removal of the implant and all cement debris. This helps seal the femoral canal and may enhance the primary mechanical stability of the stem. The corail revision stem features two distal slots, that are designed to. The stem system is comprised of 3 stem families a, b and c family b with two offsets, in order to cover different anatomies. In the final analysis, the preferred treatment is that which addresses the needs of the patient.
The corail stem is thought to have an excellent outcome due to its fully ha coated surface resulting in increased osseointegration and its tapered design which decreases proximal femoral stress shielding 20, 21. Hcp content posted april 19, 2011 in surgical techniques. For the anthology stem system, it is important to template for proximal fixation, not distal fixation. Sirius cemented femoral hip stem surgical technique. In this study, we investigated the influence of femoral neck resection height.
Jun 06, 2011 the corail hip system was developed in 1986 as an innovative solution for hip arthroplasty and has since become one of the most used hip systems in the world. Subsidence in collarless corail hip replacement fulltext. Zmr hip system surgical technique zimmer biomet tv. Significantly impaired joints resulting from rheumatoid, osteo, and posttraumatic arthritis. This book is designed as a practical manual that will serve both as a reference for surgeons training on the system and as a source of information, tips, and tricks. Accolade system surgicaltechnique yourskill ourtechnology theirqualityoflife achievingperfectbalance accoladec cementedhipsystem thepowerofperformance. Oct 09, 2012 surgical technique of a corail stem in a narrow femur. A full discussion of revision arthroplasty using the corail family of stems is also included. The skill and experience of the surgeon and the surgical approach used are both known to. Because cancellous bone was preserved in the canal for the corail implant, this technique could lead to expansion of the perimeter difference during insertion. Occasional cases have been reported following laser etching of the corail. Surgical technique hip system consensus orthopedics.
The corail stem extramedullary geometry is designed for extended range of motion to provide increased. Citation tmzf femoral stem surgical protocol technique options the command instrument system is extremely versatile, offering surgeons great flexibility in approaching the implantation of citation femoral implants. Echelon primary hip system surgical technique james p. Pdf cementless corail femoral stems with laser neck. Total hip arthroplasty tha continues to be one of the most successful orthopedic surgical procedures performed today. The distal 60% of the stem body has a smooth, satin finish. The first part discusses everything that is practical about the system, including the basic science, surgical technique, treatment of complications, and the results achieved in large cohorts of patients. Occasional cases have been reported following laser etching of the corail tm stem, but risk factors have not been precisely determined. The goal of any technique selected is adequate visualization of both the acetabulum and the proximal femur so. The technique description herein is made available to the healthcare professional to illustrate the authors suggested treatment for the uncomplicated procedure.
Zmr hip system surgical technique using the cone proximal body component and the tapered distal stem also includes preparation for a bowed poroussplined distal stem hcp content posted april 19, 2011 in surgical techniques. Combining basic design features, including shape, surface finish and extensive hydroxyapatite coating, with a simple compaction broachonly surgical technique, the corail total hip system has demonstrated reproducible results and. The corail stem as a reverse hybrid survivorship and x. Fitmore hip stem surgical technique zimmer biomet tv. Intelligent surgery optimise function accelerate recovery maximise. There is a lack of general consensus regarding the optimal approach to perform a tha safely, with the best functional outcomes and minimal adverse events. Nevertheless, in all cases the indications need to be planned carefully taking account of the specifi c demands of the individual patient. Cstem amt surgical technique golden state orthopaedics. Collarless total hip arthroplasty in both direct anterior. The corail total hip system and the anterior approach surgical instruments were designed in conjunction with dr. The goal of any technique selected is adequate visualization of both the acetabulum and the proximal femur so that a direct view down the femoral canal can be.
As it attains its 25th year, the corail hip system celebrates unsur. The indication for stem type was made prior to surgery based on radiographic templating. It has since evolved to become one of the most used hip systems across the world, with more than 110,000 patients benefiting from the treatment each year. Risk factors for intraoperative proximal femoral fracture. Implant neck fracture involving a nonmodular femoral stem is rare in primary total hip arthroplasty tha. Corail hip, total hip replacement, uncemented, long term results, durable, minimally invasive hip.
This book is designed as a practical manual to primary and revision arthroplasty that will serve both as a reference for surgeons in. The purpose is to detail the design and the longterm surgical results of the corail total hip replacement system. Before inserting the r3 acetabular liner, lavage any unused holes and insert the hole covers, if desired. Revision procedures where other treatments or devices have failed. The primary goal of total hip arthroplasty is the anatomic reconstruction of the hip joint, resulting in favorable prosthetic joint load and function. Make sure distal stem is not larger than the medullary canal width. With xlpe liners, use of skirted modular heads should be avoided when possible to maximize range of motion. The neck resection guide should be used to determine the. The bone graft may be an autograft, which means that the bone is taken from another site in the patients own. The corail hip system was developed in 1986 as an innovative solution for hip arthroplasty and has since become one of the most used hip systems in the world. A c c o l a d e t m z f a n d a c c o l a d e h f x.462 65 863 199 471 1214 971 1051 1333 853 74 1197 466 376 938 1082 668 957 311 372 1209 1276 622 435 1672 816 215 1046 1564 645 218 685 686 978 1117 1050 298 659 1433 849 673 28