Subsidence of the Corail Femoral Component in the Elderly. A Retrospective Radiological Review

Faisal, Mohammad; Thomas, G.; Young, Stephen K.

doi:10.5301/hip.2011.8409

Cited by 22 publications

(14 citation statements)

References 21 publications

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“…The Active stem subsided to a greater extent than the HAC stem during the first 3 months, but thereafter no further subsidence was seen, suggesting that the osseointegration was not compromised by the early subsidence. The pattern of subsidence seen for the Active stem was similar to the pattern of subsidence observed in RSA studies with other uncemented collarless prostheses with excellent long-term results, for example the Cone stem ( Strom et al 2006b ), the CLS stem ( Strom et al 2007 ), and the Corail stem ( Campbell et al 2011 , Faisal et al 2011 ).…”

Section: Discussionsupporting

confidence: 78%

Design modifications of the uncemented Furlong hip stem result in minor early subsidence but do not affect further stability

2014

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Background and purpose —Even small design modifications of uncemented hip stems may alter the postoperative 3-D migration pattern. The Furlong Active is an uncemented femoral stem which, in terms of design, is based on its precursor—the well-proven Furlong HAC—but has undergone several design changes. The collar has been removed on the Active stem along with the lateral fin; it is shorter and has more rounded edges in the proximal part. We compared the migration patterns of the uncemented Furlong HAC stem and the modified Furlong Active stem in a randomized, controlled trial over 5 years using radiostereometry (RSA).Patients and methods —50 patients with primary osteoarthritis were randomized to receive either the HAC stem or the Active stem. The patients underwent repeated RSA examinations (postoperatively, at 3 months, and after 1, 2, and 5 years) and conventional radiography, and they also filled out hip-specific questionnaires.Results —During the first 3 months, the collarless Active stem subsided to a greater extent than the collar-fitted HAC stem (0.99 mm vs. 0.31 mm, p = 0.05). There were, however, no other differences in movement measured by RSA or in clinical outcome between the 2 stems. After 3 months, both stem types had stabilized and almost no further migration was seen.Interpretation —The Active stem showed no signs of unfavorable migration. Our results suggest that the osseointegration is not compromised by the new design features.

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Section: Discussionsupporting

confidence: 78%

Design modifications of the uncemented Furlong hip stem result in minor early subsidence but do not affect further stability

2014

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“…Comparison of previous study (Faisal et al18 ) with current study. Effect of various variables on subsidence.…”

mentioning

confidence: 70%

“…A previous study from our centre reported on 206 patients of age 70 years or older who underwent uncemented total hip arthroplasty (THA). 18 Radiological assessment was done postoperatively and at 1 year demonstrated a subsidence rate (>2 mm) of 6.3% and intraoperative peri-prosthetic fracture rate of 2.4% with use of an uncollared uncemented stems.…”

Section: Introductionmentioning

confidence: 99%

Risk of subsidence and peri-prosthetic fractures using collared hydroxyapatite-coated stem for hip arthroplasty in the elderly

et al. 2018

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A fully hydroxyapatite (HA) coated collared stem, when used in elderly age group for elective THR, has only 2% risk of intraoperative periprosthetic fracture. There's a 4% risk of radiologically significant subsidence (i.e. ≥2 mm), however, it has not proven to be clinically significant in our study. Dorr canal type had no bearing on either risk of periprosthetic fracture or subsidence. Collared stems did not have a statistically significant difference in risk of subsidence and peri-prosthetic fracture in comparison to un-collared stem, although there was a non-significant trend in favour of collar use.

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“…5 There is evidence that its use in the elderly, who are likely to have osteoporotic bone, is acceptable, with good osseo-integration and little subsidence. 6,7 A radiostereometric analysis 8 has demonstrated a mean subsidence of 2.7 mm when the Corail stem is used to treat intracapsular fractures. There are collared and collarless versions, with the collar designed to prevent excess subsidence.…”

mentioning

confidence: 99%

Corail uncemented hemiarthroplasty with a Cathcart head for intracapsular hip fractures

Kendrick

Wilson

Lippett

et al. 2013

The Bone & Joint Journal

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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. Patient, surgical and outcome data were collected on the National Hip Fracture database. A total of 306 patients received a Cathcart modular head on a Corail uncemented stem as a hemi-arthroplasty. The mean age of the patients was 83.3 years (SD 7.56; 46.6 to 94) and 216 (70.6%) were women. The mortality rate at 30 days was 5.8%. A total of 46.5% of patients returned to their own home by 30 days, which increased to 73.2% by 120 days. The implant used as a hemi-arthroplasty for intracapsular hip fracture provided satisfactory results, with a good rate of return to pre-injury place of residence and an acceptable mortality rate. Surgery should be performed by those who are familiar with the design of the stem and understand what is required for successful implantation.

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Subsidence of the Corail Femoral Component in the Elderly. A Retrospective Radiological Review

Cited by 22 publications

References 21 publications

Design modifications of the uncemented Furlong hip stem result in minor early subsidence but do not affect further stability

Design modifications of the uncemented Furlong hip stem result in minor early subsidence but do not affect further stability

Risk of subsidence and peri-prosthetic fractures using collared hydroxyapatite-coated stem for hip arthroplasty in the elderly

Corail uncemented hemiarthroplasty with a Cathcart head for intracapsular hip fractures

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