Twenty-year results of the cementless Corail stem

Int Orthop. 2011 Feb;35(2):189-94. doi: 10.1007/s00264-010-1117-2. Epub 2010 Sep 3.

Abstract

The concept of an extensive hydroxyapatite (HA) coating for the fixation of a tapered femoral stem (Corail®) was introduced 25 years ago in the hope that we could achieve durable biological fixation while preserving normal periprosthetic bone activity. The value of uncemented fixation using HA-coated implants is now widely admitted. However, the characteristics of implant coating and more specifically its extent still remain a subject of debate or even controversy. This prospective study conducted over a 20-year period has greatly contributed to demonstrating the reliability of the Corail® prosthesis, in terms of functional abilities, radiographic evidence and global survivorship. A full HA coating applied on a straight and proximally flared stem induces substantial short-, mid- and long-term benefits without any deleterious effects reported. Modifications of the bone pattern have been strictly limited: slight resorption at the calcar level, absence of cortical hypertrophy and alleged stress shielding. The radiological "silence" is one of the paramount facts clearly demonstrated.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip / instrumentation*
  • Arthroplasty, Replacement, Hip / methods
  • Bone Cements*
  • Cementation
  • Coated Materials, Biocompatible*
  • Durapatite
  • Female
  • Hip Prosthesis*
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Osseointegration*
  • Prospective Studies
  • Prosthesis Design
  • Recovery of Function
  • Treatment Outcome

Substances

  • Bone Cements
  • Coated Materials, Biocompatible
  • Durapatite