Corail

Manufactured by DePuy

Sourced in United States

The Corail is a lab equipment product designed for use in medical research and testing. It is a versatile device that can be utilized for various laboratory procedures. The core function of the Corail is to provide a stable and controlled environment for sample processing and analysis.

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Lab products found in correlation

S rom, by DePuy (3 mentions) Securfit, by Stryker (1 mentions) Trilock, by DePuy (1 mentions) Pinnacle cup, by DePuy (1 mentions) Pfc sigma, by DePuy (1 mentions) Trilock stem, by DePuy (1 mentions) Wagner cone, by Zimmer Biomet (1 mentions) C stem, by DePuy (1 mentions) Summit, by DePuy (1 mentions) Cls spotorno, by Zimmer Biomet (1 mentions)

14 protocols using corail

Cementless Tapered Titanium Femoral Stem for Hip Revision

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A cementless, tapered titanium femoral stem with an extensive hydroxyapatite coating was used in all cases. The design was based on the CORAIL and KAR™ Hip Systems (Depuy Synthes, New Brunswick, NJ, USA) (Fig. 1). The acetabular component used was a corresponding cobalt-chromium cup with an ultra-high molecular weight polyethylene (UHMWPE) liner. A 28-mm metal head was employed in all hip prostheses.Fig. 1

The bone-conserving revision stem is a cementless, tapered titanium stem with a collar and extensive hydroxyapatite coating on the surface

Chen M., Wang J., Cheema A.N., Yang S, & Liu X. (2022). A bone-conserving revision stem for unstable intertrochanteric fractures of the geriatric osteoporotic population. Arthroplasty, 4, 48.

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Cementless Total Hip Arthroplasty Protocol

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All THA were performed by the same group of qualified surgeons (HWL and JWZ) using a posterolateral approach. Generally, the acetabular cup is implanted using a press-fit technique in an anatomically or slightly superior place. The femoral component that best matched the broached intramedullary canal was selected. In highly dislocated cases, the capsule was cut off for reduction. Muscle and soft tissue release was performed as less as possible, and no release was made of the gluteus maximus or iliopsoas. None of the patients underwent femoral shortening osteotomy. Cementless cups (SecurFit, Stryker, USA; Pinnacle, DePuy, USA) and stems (SecurFit, Stryker; Corail, DePuy; and S-rom, DePuy) were implanted in all patients.
The patients began passive range of movement exercises 24 h postoperative and mobilized non-weight-bearing in the first week postoperative. Partial weight-bearing as tolerated was allowed for the following 6 weeks. Thereafter, progressive weight-bearing with crutches was performed, with unrestricted walking allowed after 8 or 12 weeks.

Hu Y., Zou D., Jiang M., Qian Q., Li H., Tsai T.Y, & Zhang J. (2023). Postoperative hip center position is associated with gait symmetry in range of axial rotation in dysplasia patients after THA. Frontiers in Surgery, 10, 1135327.

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Standardized Total Hip Arthroplasty Procedure

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All THAs were performed by three senior surgeons using the modified Watson–Jones anterolateral approach. After resecting the femoral head, medialization was carried out by reaming toward the acetabular fossa until the floor was exposed. Acetabular components were all press-fitted with targets of 40°–45° inclination and 15°–20° anteversion. Dome screws were used only if insufficient press-fitting was perceived during cup insertion. Ceramic-on-ceramic articulation was used in all operations. The femoral procedure was carried out to insert cementless implants of the desired size measured via preoperative templating. The most frequently used femoral prostheses were Bencox (Corentec, Cheon-An, South Korea), S-ROM (DePuy, Warsaw, IN, USA), Trilock (DePuy, Warsaw, IN, USA), and Corail (DePuy).

Lim S.J., Park C.W., Kim D.U., Han K., Seo M., Moon Y.W., Lee J.I, & Park Y.S. (2019). Outcomes of Total Hip Arthroplasty in Patients with Osteonecrosis of the Femoral Head Following Surgical Treatment of Brain Tumors. Journal of Clinical Medicine, 8(10), 1703.

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Corail® Femoral Stem Retrieval Analysis

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This study is a retrospective analysis of patient charts, radiographs, and retrieved implants of a single femoral stem design, Corail® (DePuy-Synthes, Warsaw, IN). All HA-coated femoral stems were extracted from a regional implant retrieval database, resulting in a total of 46 retrievals. Research ethics approval was granted by the local review board (H2013:325, University of Manitoba). All retrieved implants were revised between 2007 and 2015 and consisted of 14 standard and 32 collared designs. Three study groups were created based on bearing type: metal-on-metal (MoM; n = 10), metal-on-polyethylene (MoP; n = 24), and ceramic-on-ceramic (CoC; n = 12). Patient data was collected for all retrievals, including age at primary surgery, length of implantation, reasons for revision, body mass index, femoral head offset, implant sizes, and head-neck taper size. The dataset generated from this study is available from the corresponding author on reasonable request.

Gascoyne T., Flynn B., Turgeon T, & Burnell C. (2019). Mid-term progressive loosening of hydroxyapatite-coated femoral stems paired with a metal-on-metal bearing. Journal of Orthopaedic Surgery and Research, 14, 225.

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Total Hip Arthroplasty Approaches and Techniques

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All procedures were performed at our institution by 2 senior hip surgeons. The patients were operated on in the supine or lateral decubitus position under general or spinal anesthesia. A posterior or lateral approach was used, depending on the experience and preference of the surgeon, wherein one surgeon used the lateral approach, and one surgeon used the posterior approach. The indication for surgery was primary arthrosis of the hip in all patients. The prostheses were implanted cement-free according to the current technique. Figure 2 shows postoperative radiographics.Fig. 2

a Anteroposterior radiograph of the pelvis after THA with a standard stem (Corail^®, DePuy, Warsaw, IN). b Anteroposterior radiograph of the pelvis after THA with a short stem (Nanos^®, Smith & Nephew, Marl, Germany), THA total hip arthroplasty

Zimmerer A., Slouka S., Kinkel S., Fritz T., Weiss S., Sobau C, & Miehlke W. (2020). Comparison of short-stem with conventional-stem prostheses in total hip arthroplasty: an 8-year follow-up study. Archives of Orthopaedic and Trauma Surgery, 140(9), 1285-1291.

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Approach for Cementless Total Hip Arthroplasty

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The standardised approach of Hueter Gaine was used for all patients. The DAA was performed in supine position without an extension table as described by Lustig [20 ]. Fluoroscopic control was systematically realised during the surgery. A variety of acetabular shells cementless cups were implanted (Dynacup (Tornier^®), Quattro (Lepine^®), Pinnacle (Depuy^®), Tornier DM (Tornier^®)). Dual mobility cups were used for patients older than 65 yo, and in those with high risk of dislocation (e.g., epilepsy, Parkinson disease, substance abuse). All femoral stems were cementless with a hydroxyapatite coating and of similar design (Corail (Depuy^®), Meije (Tornier^®), Targos (Lepine^®)).

Foissey C., Fauvernier M., Fary C., Servien E., Lustig S, & Batailler C. (2020). Total hip arthroplasty performed by direct anterior approach – Does experience influence the learning curve?. SICOT-J, 6, 15.

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Cementless THA and Cemented TKA

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All operations were performed in a single Department of Orthopaedic Surgery of a University Medical Centre. The lateral decubitus position was used for the cementless THA. A minimally invasive anterolateral approach was chosen [12 ]. Press-fit acetabular components and cementless stems from a single manufacturer (Pinnacle cup, Corail or Trilock stem; DePuy, Warsaw, IN) were used in all THAs. The cemented TKA was performed via a medial parapatellar approach. Cemented components from a single manufacturer (PFC Sigma; DePuy) were used in all TKAs. Patella resurfacing was not performed.

Kappenschneider T., Bammert P., Maderbacher G., Greimel F., Parik L., Holzapfel D.E., Schraag A.D., Götz J., Michalk K., Grifka J, & Meyer M. (2024). The impact of primary total hip and knee replacement on frailty: an observational prospective analysis. BMC Musculoskeletal Disorders, 25, 78.

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Posterior Approach Hip Arthroplasty

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All the operations were performed using a posterior approach by five different surgeons. Nine different acetabular components were used: 21 Pinnacle (DePuy, Warsaw, Ind), 14 Reflection (Smith&Nephew, Richards Inc., Memphis, TN), 8 Avantage (Biomet), 4 Trilogy (Zimmer, Warsaw, IN), 4 Continuum (Zimmer, Warsaw, IN), 2 articular surface replacement (ASR) (DePuy, Warsaw, IN), 1 Trident peripheral self-locking (PSL) (Stryker, Rutherford, NJ), 1 Bantam (DePuy, Warsaw, IN) and 1 Trabecular metal revision shell (Zimmer, Warsaw, IN). Five different femoral components were used: 47 Corail (DePuy, Warsaw, IN), 4 Wagner cone (Zimmer, Warsaw, IN), 3 Synergy (Smith&Nephew, Richards Inc., Memphis, TN), 1 CLS (Zimmer, Warsaw, IN) and 1 custom-made stem (Unique, SCP, Trondheim).
In seven hips, autotransplantation of bone from the femoral head was used to restore the acetabulum and optimize coverage of the acetabular cup. Complete coverage was achieved in all 7 of these cases. Two hips (both Crowe type IV) underwent femoral osteotomy and were therefore excluded when analysing postoperative LLD.

Kristoffersson E., Otten V, & Crnalic S. (2021). The accuracy of digital templating in cementless total hip arthroplasty in dysplastic hips. BMC Musculoskeletal Disorders, 22, 942.

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Comprehensive Radiographic Measurements in THA

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In all, 93 consecutive patients (100 hips) underwent THA surgery from two experienced surgeons (PJY, CWJ) between July 2020 and August 2021. All patients underwent preoperative surgical planning by 360 Med Care, which included a standardized preoperative EOS scan and WB AP radiograph. Mean age of the patients was 69.6 years (standard deviation (SD) 9.4) and 5o patients (53%) were female. All patients received a Pinnacle (Depuy Synthes, USA) acetabular component and an S-ROM, Corail, or C-Stem (Depuy Synthes) femoral component.
A total of 13 measurements were taken, including the inter-teardrop to LT on WB AP radiograph as a reference standard, pelvic obliquity, femoral and tibial lengths, head centre-to-ankle, head centre-to-floor, anterior superior iliac spine (ASIS)-to-ankle, and ASIS-to-floor. A summary of these measurements can be found in Table I and Table II. Measurements were taken along both anatomical (limb aligned) and functional (gravity aligned) axes and on both the operative and contralateral side. Each measurement was measured twice by an orthopaedic fellow and twice by a qualified surgical planning engineer in RadiAnt DICOM Viewer v2.2.5.10715 (Medixant, Poland), with repeat measurements taken at least two weeks apart to calculate the correlations between measurements and the repeatability of measurements.

Hardwick-Morris M., Wigmore E., Twiggs J., Miles B., Jones C.W, & Yates P.J. (2022). Leg length discrepancy assessment in total hip arthroplasty: is a pelvic radiograph sufficient?. Bone & Joint Open, 3(12), 960-968.

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Retrieval Study of MoM Pinnacle Implants

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This retrieval study examined patient and implant data collected from a consecutive series of 92 MoM Pinnacle hip implants received at our centre. The acetabular components consisted of a cobalt-chromium liner paired with a titanium shell, while all heads were 36 mm in diameter, composed of cobalt-chromium and paired with Corail (n = 52) or Summit (n = 40) titanium femoral stems (both DePuy Synthes). These stems shared the same taper diameter (12/14), method of fixation (cementless), and other comparable dimensional and topographical design features.
The implants were separated into two groups: those with a primary implantation date before 2007 (pre-2007) and those implanted from 2007 onwards (2007 onwards). The rationale for using 1 January 2007 as the boundary between the two groups was based on speculation that a change in the way Pinnacle implants were manufactured had occurred in 2006, acknowledging the delay between manufacture and implantation date. Patient gender, age, and blood metal ion levels (cobalt (Co) and chromium (Cr)) were collected for both cohorts, along with the time to revision and positioning measurements of the implants.

Bergiers S., Hothi H.S., Henckel J., Eskelinen A., Skinner J, & Hart A. (2018). Wear performance of retrieved metal-on-metal Pinnacle hip arthroplasties implanted before and after 2007. Bone & Joint Research, 7(11), 595-600.

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