Locking bolt assembly 28 optional disassembly step 30 optional instrumentation 32 ordering. Mechanically, the goals are to create a stable articulation. The trilock bone preservation stem offers several broach handles that enable the many surgical approaches for hip. Surgical technique for all corail portfolio including. The actis total hip system is the first depuy synthes companies stem designed to be utilized with tissue sparing approaches, such as the anterior approach, as well as traditional approaches. Comparing the deformation in the cup of a novel ceramic hip. Revision hip prosthesis corail depuy synthes cementless. This information is intended for use by customers, patients, and healthcare professionals in the united states only.
Follow the sequence shown in figure 11 to assemble the cup trial to the cup holder adaptor. Complications following total hip arthroplasty intechopen. However, once introduced, data regarding the performance. Jonathan thompson depuy synthes joint reconstruction leeds, united kingdom. 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 longterm clinical survivorship of 96. Surgical technique actis total hip system depuy synthes 9 following the nal trial reduction, clean and dry the femoral stem taper to ensure it is free of debris. Overview of the most common implants for total hip and total knee arthroplasty.
The geometry of the corail revision stem features a dualtaper flare, collared option and horizontal grooves. Corail primary stem cementless surgical technique the corail hip system provides preoperative templates at three different magnifications 100%, 115% and 120%. Limbsparing techniques, using modular segmental endoprostheses, provide a reliable. Bimentum dual mobility cup surgical technique depuy synthes joint reconstruction 7 of 36 trial cup a trial of the same size as the reamer allows assessment of the fit and position of the cup.
With more than 250,000 successful implantations and two decades of clinical success, the corailtotal hip system now has the most extensive experience with a hydroxyapatite ha coated stem. The surgical technique shares a similar straightforward procedure for implantation as the primary corail stem. Feb 01, 20 surgical technique after surgical exposure of the hip, prosthetic dislocation, and removal of the femoral head, bony overgrowth is removed with a rongeur. Impact of femoral stem design on failure after anterior. The advanced features of the corail stem, and its bonepreserving surgical technique, have made it a great choice for minimally invasive hip surgery. We offer marketleading hip replacement implants for total hip arthroplasty, including our primary and revision portfolios designed to offer you a wide variety of implants, instrumentation and musclesparing surgical approach options. Advancing science, enhancements were made to corail to provide solutions for orthopaedic surgeons treating todays higherdemand patients. A ceramic liner fracture involving the rim was noted postoperatively, but the liner remained securely fixed. Surgical technique corail hip system, size 6 depuy synthes companies 9 ordering information implants corail amt size 6 stem l20106ck6s 6s 110 30. In a 2020 study, 107 patients aged 50 years or younger who were implanted with an exeter stem demonstrated 96. The corail revision stem is also indicated for primary implantation in a cavernous femur. For example, the actis stem size 1 is 97mm in length, the same as the trilock bps stem. Mar 31, 2011 the corail stem has been in clinical use since the 1980s. Undersizing the corail stem is strongly predictive of developing rlls in zone 7.
Corail primary surgical technique hip musculoskeletal system. Figure 5b 6 femoral component insertion corail total hip system implants can be inserted with either a threaded retaining inserter or a nonthreaded. The size 6 corail stem is contraindicated for patients weighing more than lbs. The implant and instrumentation are designed to facilitate proper fit and placement of the femoral prosthesis using tissue sparing techniques. The surgical technique is simple and allows bone preservation as we are looking for an optimum filling and not a close cortical contact with the implant. 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 longterm biomechanical. Backgroundthe introduction of new devices for total hip arthroplasty tha offers surgeons the ability to address deficits in the portfolio. With over 2,000,000 stems provided for patients worldwide1. Depuy synthes companies offer an unparalleled breadth and depth of technology, devices, services and programs in the areas of joint reconstruction, trauma, spine, sports medicine, neurological. Product rationale and surgical technique depuy synthes. The availability of digital templates depends on depuy.
Please refer to the surgical technique guide or package inserts if included for a complete list of indications, contraindications, precautions and warnings. Steinman pin technique for the removal of wellfixed femoral. The company, founded in 1895, merged with synthes in 2011 to become depuy synthes. 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. Key characteristics of the cup trial are shown in figure 10. The trial stem is assembled on the stem insertor and introduced into the femoral canal to the depth estimated during templating fig. Jun 26, 20 the stem incorporates gription fixation technology, and has a 1214 articuleze taper. A cohort of unrevised corail depuy synthes, raynham, ma femoral. Method of measuring the remaining neck a and the position of tip of. Four simple surgical steps include a ream, broach, trial and implant technique. Depuy ceramaxi ceramic total hip system information for. Contents introduction 3 design philosophy 4 surgical technique. Midterm progressive loosening of hydroxyapatitecoated.
Today we face an exciting new era, and we look forward with confidence in sharing continued. Corail revision hip system surgical technique depuy synthes 3 achieving stem stability in the proximal femur as an evolution of the corail primary and kar revision stems, the corail revision stem is designed to achieve secure initial and long term mechanical stability in the femur. Depuy synthes corail hip system flashcards quizlet. Femoral component insertion 12 primary intraoperative non osteointegrated stem extraction 14 ordering information corail upgrade kit surgical technique depuy synthes joint reconstruction.
Accessing the femoral canal starter reamer 4 step 2. Type 1 type 2 type 3a type 3b type 4 corail corail revision reef corail group revision indications based upon the paprosky femoral defect classification. Extraction of a well fixed but fractured ceramic acetabular. 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. Similar clinical results and early subsidence between the collum. I 1997e sterilization implants all the implants described in this surgical technique are. The corail stem extramedullary geometry is designed for extended range of motion to provide increased. For this study, the corail femoral stem depuy synthes, warsaw, usa was selected as it is available with different offsets, with documented clinical history for all of the design options 17,18. Reduce the hip and assess what adjustments, if any, are required to ensure stability through a full range of motion. The combination of the design and the ha coating of the corail stem has proven to work perfectly. Depuy lps limb preservation system surgical technique.
Ista 2018 london abstract book international society for. Observed effect of femoral component undersizing and a collarless. How does the length of the actis stem compare to other depuy synthes hip stems. Corail hip system surgical technique depuy synthes 11 trial reduction with the final broach in situ, attach the appropriate trial neck and trial head. Product rationale and surgical technique corail pinnacle. Loosening, 2% failure rate at 15 years corail uncemented stem11. Although numerous techniques have been described to successfully achieve. The streamlined instrumentation features enhanced colorcoding, ergonomic improvements, instrumentimplant consistency throughout and a layout that is easy to follow, thus saving time. An fe model was developed of a zimmer biomet type1 taper junction. Depuy ceramaxi ceramic total hip system information. The actis and corail femoral stems provide for similar. Surgical technique of a corail stem in a narrow femur. Determination of leg length discrepancy perform a clinical evaluation in conjunction with a radiographic analysis to determine preoperative leg length discrepancy, and use both to determine intraoperative leg length management. We recognize that the internet is a global communications medium.
To estimate leg length discrepancy radiographically, draw a reference line across the bottom of the ischium as shown. Based on the corail hip system and kar hip systems clinical history, the corail revision hip system is a taper wedge revision stem that offers a boneconserving option compared to modular revision systems. Preservation stem system used with depuy synthes joint reconstruction metal. Corail hip system product rationale and surgical technique depuy synthes 12 thr following femoral neck fracture consistently leads to reduced postoperative pain. Anterior approach demonstration broaching concepts with. Reef surgical technique depuy synthes pdf catalogs. The srom system utilizes a straightforward surgical technique involving distal reaming, proximal reaming and calcar milling.
It remains the most widely implanted cementless stem and has 93. The corail stem utilizes compaction broaching which is designed to preserve the blood supply to promote healing and growth of bone around the implant. Identify the lower level of the extended trochanteric osteotomy eto required to fully remove the failed primary implant and any cement. Corail revision hip system surgical technique depuy synthes 1. Stem has over 30 years of clinical experience and has been provided to over 2 million patients around the world. Posterior lip augementation device plad, depuy, uk. Proven fixation the geometry of the corail revision stem features a dualtaper flare, collared option and horizontal grooves. Reclaim surgical technique depuy synthes pdf catalogs. More than one million patients have received implant devices made by the company, which range from hip to knee to shoulder replacements. Having prepared the femur for a corail stem, the surgical team selected the cemented option from the corail hip system. Significant bone loss requiring extensive reconstruction around the hip and knee is often required following the treatment of malignant bone tumors, aggressive benign bone tumors, infection, multiple revised and failed joint replacements and massive trauma, particularly in the elderly osteoporotic patient.
It is a fully hydroxyapatite coated 150 micron thickness nonporous forged titanium alloy stem. Figure 971 the corail hip system for revision surger. Depuy femoral steins the depuy ceramaxtm ceramic total hip system uses the commercially available depuy srom titanium alloy astm f6 femoral stem components. During femoral preparation, reamers are used to calibrate the distal cavity of the femur. Figure 2implant choices and operative technique changes during the. Amistem surgical technique joint spine sports med federal law usa restricts this device to sale distribution and use by or on the order of a physician. 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 longterm biomechanical joint restoration. The hydroxyapatite coating allows secondary biological integration. Reclaim modular revision hip system surgical technique introduction 2 step 1. Trial implant removal the trial neck should then be removed. For further information on depuy synthes products, please contact your local depuy synthes representative. The pinnacle acetabular cup system primary surgical technique has been developed in consultation with an experienced surgeon.
Advances in technology, anaesthesiology and surgical technique have. Surgical technique preoperative planning makes it possible to. Caution introduction this document describes the surgical technique for the amistem system. The templates are placed over the ap and lateral radiographs to help determine the implant size in order to restore the patients natural anatomy.
Ensure bearing surfaces are clean, and finally reduce the hip. Product rationale 2 indications 5 preoperative planning 6 surgical technique. The design includes a proximal trapexoidal cross section, intended to resist axialtorsional stresses and promote initial stability, and a tapered distal stem which is quadrangular and. Polar depuy synthes pdf catalogs technical documentation. The stem k6s is the reduced form of the standard collarless corail amt stem the stem features the articuleze neck, characterized by a thin anteroposterior dimension, a polished surface and a 1214 minitaper. In a 2016 study, 1 longterm survivorship for aseptic loosening was 99% at 22. The content on this page is intended for healthcare professionals. Depuy lps limb preservation system surgical technique significant bone loss requiring extensive reconstruction around the hip and knee is often required following the treatment of malignant bone tumors, aggressive benign bone tumors, infection. It is an effective option for todays primary and revision patients. Place the femoral head onto the taper and impact with moderate blows using the head impactor fig. Discuss types of designs and the brand names from major device companies such as depuy, smith and nephew, stryker, zimmerbiomet. Depuy corail total hip system which medical device.
Trial stem the diaphysis may need to be reamed sparingly and carefully to ensure a proper fitting of the implant. Surgical technique and early clinical outcomes of direct. Mar 01, 2015 this was performed through a posterior approach, and using an uncemented corail stem and pinnacle cup depuy int. More than twenty years ago, we began a revolution with the use of ha in orthopaedics. The stems used most frequently in primary hip replacement surgery have a. The restoration of bone stock occurs with the creation of newly formed bone all. Discover all the products from depuy synthes and see a list of their distributors. The actis stem is the same length as the trilock bone preservation stem bps stem.
Ehs congress 2018 abstract book, 2018 sage journals. Pinnacle acetabular cup system surgical technique golden. To describe the surgical technique of direct anterior approach to total hip arthroplasty and to report the early clinical outcomes. It has more than 200 orthopedic products, including hip, knee and shoulder replacements. Corail revision hip system offers a simplistic technique and efficient instruments. Surgical technique actistotal hip system depuy synthes 1. The original c stem implant established a taper slip stem that not only worked with the bone cement mantle, but was also the first stem to demonstrate positive bone remodelling through an even proximal load transfer.
The corail stem depuy synthes, usa is a conventional. Corail revision stem can be performed with the same number of instrument trays as corail primary stem. Mar 26, 2020 total hip arthroplasty using trilock depuy bone preservation femoral stem. Primary hip prosthesis corail depuy synthes cementless. It is shaped to resist both axial and torsional loosening forces.
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