CORAIL® Revision – the Bone Preserving Option
The Orthopaedic Patient Population is Changing
Prof Tim Board at the Wrightington (UK) Hospital Orthopaedic Centre of Excellence, has reported that 26% of hip revision patients between 2006 and 2016 were under the age of 60 and 57% were under 70 years of age.1
26% of revisions are under 60 years old.1
57% of revisions are under 70 years old.1
89% of Hip Revisions are Type I, II or IIIA (Paprosky classification) and are suitable for conservative revision treatment with the CORAIL® Primary or Revision System.2
By selecting CORAIL Revision Stem as a conservative option, you will have the potential to preserve healthy bone for future use.
The CORAIL Revision Stem maintains the same low-profile proximal intramedullary geometry as the CORAIL Primary Stem. The longer distal portion of the stem incorporates slots designed to provide adaptability to the natural curve of the femur and may help prevent thigh pain.
What does a conservative femoral revision option look like?
- Proximal loading: fixation needs to be as proximal as possible
- Avoid stress shielding
- Approach by preserving soft tissue
- Use standard length implants whenever possible: avoid unnecessary modularity
Based on the CORAIL and KAR™ Hip Systems’ clinical history, the CORAIL Revision Hip System is a taper wedge revision stem designed to provide a bone-conserving option compared to modular revision systems.3
Designed to offer a simplistic technique and efficient instruments, the CORAIL Revision Hip System is designed to provide the science of simplicity for today’s revision scenarios as well as primary patients.
Simple and Reproducible
Just 4 Key Surgical Steps
A study in 2016 suggests that “a fully HA-coated stem in THA can provide reliable results for up to 28 years.”4
“The bone changes confirmed a well-fixed femoral component with a rather physiological transfer of stress from proximal to distal regions with no significant thigh pain.”4
In Revision Total Hip Replacement, biomechanical challenges confront the surgeon in restoring the normal mechanics of the hip joint while achieving stable, long-term fixation of the prosthetic components in host bone. Restoration of femoral off-set, global off-set and leg length is a key objective in Hip Revision Surgery.
“Aiming to achieve fixation as proximal as possible and as distal as necessary allows a conservative approach to revision surgery”5
“Confidence can be taken in restoring adequate biomechanics of the hip in revision surgery using a non-modular stem”3
“Restoration of biomechanics achieved in 84-97% of cases.”3
“Results compare favorably with studies using a modular, Wagner type prosthesis.”3
- Prof Tim Board, Wrightington Hospital, UK, Patient Revision Age of Surgery, 10 years, 2016.
- Paprosky W, Greidanaus N, Antoniu J. Minimum 10-year-results of extensively porous coated stems in revision hip arthroplasty. Clinical Orthopaedics and Related Research. 1999; 639: 230-242.
- Shaw D, Saunders P, Siney P, Dojode C, Sidharthan S, Young S, Board T. Restoration of Biomechanics in Revision Hip Arthroplasty with a Non-Modular Hydroxyapatite coated Titanium Stem. Poster #2070.
- Reikerås O. Total Hip Arthroplasty With a Fully Hydroxyapatite-Coated Stem: A Cohort Study During 23-28 Years. J Arthroplasty. 2017 May;32(5):1543-1546. doi: 10.1016/j.arth.2016.12.008. Epub 2016 Dec 18.
- Shaw D, Saunders P, Sidharthan S, Dojode C, Siney P, Young S, Board T. Survivorship of an Hydroxyapatite Coated Titanium Stem in Revision Hip Arthroplasty.