CORAIL® Hip System

Overview

First implanted in 19861 by the ARTRO Group in France, published evidence for the CORAIL Hip System proves that it is a class-leading hydroxyapatite (HA) coated cementless implant.1-7 In many markets it is considered the standard of care for primary total hip arthroplasty (THA) when compared with other cementless hip implants.5-7,12

  • Over 2.5 million CORAIL Stems sold worldwide since its introduction, across more than 30 years of clinical heritage.2

  • Compaction broaching technique, aimed to preserve the blood supply to promote healing and growth of bone around the implant.

  • When compared to all other cementless hips in the UK NJR, CORAIL Collared Stem has a significantly lower revision due to peri-prosthetic fracture.8

CORAIL Collared Stem with PINNACLE Cup has a 28% less chance of being revised compared with all other uncemented hips in NJR.8

PINNACLE® Hip Solutions

Overview

The PINNACLE Acetabular Cup System comes with a proven track record.1,5,9-12 Over the last 15 years, the PINNACLE Acetabular Cup System has grown to become one of the most widely used and clinically successful modular acetabular cup systems for hip replacement.1,5,9-12

  • Over 3.4 million PINNACLE Cups sold worldwide since its introduction, across more than 15 years of clinical heritage.9

  • Full profile cup design with 180° of POROCOAT™, DUOFIX™ or GRIPTION™ Coating intended to maximize contact with host bone.

  • Complete range of bearing options, featuring one of our three technologies, MARATHON® Polyethylene Liners, ALTRX® Polyethylene Liners, CERAMAX™ Ceramic Liners.

01
CORAIL Femoral Options

Primary Cementless Stems

The extended CORAIL Hip System features a wide range of primary cementless stems and provide a comprehensive platform to treat the majority of cases.

135° CORAIL Standard Stem

Collared or Collarless

Size 8 – 20

135° CORAIL High Offset Stem

Collared or Collarless

Size 9 – 20

125° CORAIL Coxa Vara High Offset Stem

Collared

Size 9 – 20

125° CORAIL Standard

Collared or Collarless

Size 8 – 14

135° CORAIL Short Neck Stem

Collared or Collarless

Size 8 – 14

CORAIL Dysplasia Stem

Trochanteric Base or Collarless

Size 6

Primary Cemented Stems

The cemented CORAIL Stems share exactly the same broach envelope and instrumentation as the cementless CORAIL Stems.

CORAIL Cemented

Collarless

Size 8 – 20

CORAIL Cemented High Offset

Collarless

Size 9 – 20

CORAIL Revision Stems

The CORAIL Revision Stem features two distal slots, that are designed to allow elasticity in the distal portion of the stem, which helps in adapting to the patient’s femoral morphology.

CORAIL Revision

Collared

Size 10 – 20

CORAIL Revision High Offset

Collared

Size 10 – 20

REEF

The REEF Prosthesis is a modular femoral implant which is designed to allow flexibility for intra-operative assembly of the different components thanks to the range of available stem lengths and diameters. Primary stability is provided by virtue of a distal press-fit which is further facilitated by distal interlocking screws.

REEF

Collarless

REEF

Collared

02
PINNACLE Cup Options

PINNACLE Cup Options

PINNACLE Cups are manufactured from titanium alloy and show a full profile cup design with 180° of POROCOAT™, DUOFIX™ or GRIPTION™ Coating for maximised contact with host bone. A 2 mm peripheral band above the respective coating is designed to reduce soft tissue interference when seating the liner. An apical hole is used for cup impaction and for viewing to ensure complete seating of the cup in the acetabulum.

The PINNACLE Acetabular Cups are offered in a variety of styles to treat both primary and revision cases.

Primary Cups

PINNACLE 100 Series

POROCOAT, DUOFIX or GRIPTION Coating

Available in sizes 48-66 mm

PINNACLE Sector

POROCOAT, DUOFIX or GRIPTION Coating

Available in sizes 48-66 mm

PINNACLE 300 Series

POROCOAT Coating

Available in sizes 48-66 mm

PINNACLE Multihole

GRIPTION Coating

Available in sizes 48-72 mm

PINNACLE Bantam

POROCOAT or GRIPTION Coating

Sizes 38-46 mm, Multi-hole style only

Revision Cups

PINNACLE Revision Standard Profile

GRIPTION Coating

Available in sizes 54-80 mm

PINNACLE Revision Deep Profile

GRIPTION Coating

Available in sizes 54-72 mm

03
PINNACLE Bearing Options

DePuy Synthes liners are designed to work with the PINNACLE Acetabular Cup System, providing a range of bearing technologies to provide surgeons the power to choose the precise combination that best meets the needs of each patient.

An approach to versatility offers more ways to bring together all the right components and materials for enhanced performance. Choose a solution featuring one of three technologies13-17 available – MARATHON® Polyethylene Liners, ALTRX® Polyethylene Liners and CERAMAX™ Ceramic Liners.

MARATHON

High performance MARATHON Liners are available for all PINNACLE Cup sizes. The internal diameter ranges from 22 mm to 48 mm in line with specific corresponding cups diameters. The MARATHON Polyethylene Liners are available in different stability options: neutral, lipped, with 10 degrees of orientation and with 4 mm of extra thickness to adjust offset. Ask your local DePuy Synthes representatives for more information.

ALTRX

ALTRX Polyethylene is available for PINNACLE Cup sizes from an outer diameter of 44 mm onwards.

The internal diameter ranges from 28 mm to 48 mm in line with specific corresponding cups diameters. The ALTRX Liners are available in different stability options: neutral, lipped, with 10 degrees of orientation and with 4 mm of extra thickness to adjust offset. Ask your local DePuy Synthes representatives for more information.

CERAMAX

CERAMAX Ceramic-on-Ceramic (CoC) combinations are available in a PINNACLE Cup from an outer diameter of 44 mm onwards with a 28 mm head and from 52 mm outer diameter onwards with a 36 mm head, either for primary or revision cases.

References
  1. Orthopaedic Data Evaluation Panel. ODEP product ratings. Latest ODEP ratings can be found at www.odep.org.uk [Accessed January 2020].
  2. Royalty COE, CORAIL WW implantations 2000 - June 2019.
  3. Hallan G, Lie SA, Furnes O, Engesaeter LB, Vollset SE, Havelin L. Medium and long-term performance of 11 516 uncemented primary femoral stems from the Norwegian arthroplasty register. J. Bone Joint Surg. 2007;89-B:1574-1580.
  4. Chatelet J-C. Survivorship in 120 consecutive cases at 12 years. Rev Chir Orthop Reparatrice Appar Mot. 2004;90(7):628-635.
  5. National Joint registry for England, Wales, Northern Ireland and the Isle of Man, 16th Annual Report, 2019. Table 3.9. Available from www.njrreports.org.uk.
  6. DePuy Synthes Registry Analysis; 2019; Data on file DePuy Synthes.
  7. Norwegian Arthroplasty Register, Report 2019. Table 23.
  8. Bespoke Implant report CORAIL Collared Stem-Pinnacle Cup vs Cementless NJR. Report can be accessed at http://www.corailpinnacle.net/resources.
  9. Royalty COE, PINNACLE WW implantations 2000 - June 2019.
  10. Bedard N, Callaghan J, Stefl M, Williams T, Liu S, Goetz D. Fixation and Wear with Contemporary Acetabular Components and Cross-Linked Polyethylene at 10-Year Follow-Up. Journal of Arthroplasty. 2014; 29: 1961-1969.
  11. Greiner J, Callaghan J, Bedard N, Liu S Gao Y, Goetz D. Fixation andWear With Contemporary Acetabular Components and Cross-Linked Polyethylene at 10-Years in Patients Aged 50 and Under, J Arthroplasty. 2015;
  12. Australian Orthopaedic Association National Joint Replacement Registry. Annual Report. Adelaide: AOA; 2019. Available from URL: https://aoanjrr.sahmri.com/annual-reports-2019. Extracted from Table HT9.

  13. McKellop H, et al.: Development of an Extremely Wear-Resistant Ultra High Molecular Polyethylene for Total Hip Replacements. J Orthop Res 1999; 17(2): 157-166.
  14. McKellop H, et al.: Wear of Gamma-Crosslinked Polyethylene Acetabular Cups against Roughened Femoral Balls. Clin Orthop Rel Res 1999; 369: 73-82.
  15. Liao, Y.-S., Greer K, et al. “Effects of Resin and Dose on Wear and Mechanical Properties of Cross-linked Thermally Stabilized UHMWPE.” Society for Biomaterials, the 7th World Biomaterials Congress, Sydney, Australia, 2004.
  16. Greer K. and Sharp,M. “Comparison of crosslinked UHMWPE stabilized by sequential annealing or by remelting”. Orthopaedic Research Society 53rd Annual Meeting, Transactions Vol.32, Poster #1784, San Diego, CA, 2007.
  17. Engh C A et al: A randomized prospective evaluation of outcomes after total hip arthroplasty using cross-linked marathon and non-cross-linked Enduron polyethylene liners. J Arthroplasty 2006; 21(Suppl 2):17-25.