Articles Vol. 63 No. 6 (2022) 09/11/2022

THE EVALUATION OF THE RESULTS CEMENTLESS CORAIL TOTAL HIP ARTHROPLASTY IN PATIENTS YOUNGER THAN FIFTY WITH FEMORAL HEAD OSTEONECROSIS

Mai Dac Viet1,2, Nguyen Thu Thuy1,2, Tran Thi Kieu Oanh1,2
1 108 Mililary Central Hospital
2 Bệnh viện Trung ương Quân đội 108
Corresponding author: vietmaidac64@gmail.com
DOI: 10.52163/yhc.v63i6.461
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Abstract

Objective: This study aimed to report the outcome of total hip arthroplasty (THA) with an extensive
hydroxyapatite (HA) coating for the fixation of a tapered femoral stem (Corail) in patients younger
than fifty years with osteonecrosis of the femoral head.
Subject and method: Seventy-four osteonecrotic hips in fifty-eight patients were available for
clinical and radiographic analyses at minimum follow-up of 10 years and at maximum follow-up 12
years.
Results: The mean Harris hip score improved from 41.68 ± 21,78 points preoperatively to 98.82 ±
2.29 points at final follow-up. Seventy-four (100%) hips demonstrated stable bone ingrowth. No hips
showed loosening or required revision for aseptic loosening.
Conclusion: We believe that cementless THA with a Corail stem is a promising procedure for young
patients with osteonecrosis of the femoral head.

References
[1]
Radl R, Hungerford M, Materna W et al., Higher Google Scholar
[2]
failure rate and stem migration of an uncemented Google Scholar
[3]
femoral component in patients with femoral head Google Scholar
[4]
osteonecrosis than in patients with osteoarthrosis. Google Scholar
[5]
Acta Orthop 2005;76:49. Google Scholar
[6]
Saito S, Saito M, Nishina T et al., Long-term Google Scholar
[7]
results of total hip arthroplasty for osteonecrosis Google Scholar
[8]
of the femoral head. A comparison with Google Scholar
[9]
osteoarthritis. Clin Orthop Relat Res 1989:198. Google Scholar
[10]
Lieberman JR, Berry DJ, Mont MA et al., Google Scholar
[11]
Osteonecrosis of the hip: management in the 21st Google Scholar
[12]
century. Instr Course Lect 2003;52:337. Google Scholar
[13]
Fyda TM, Callaghan JJ, Olejniczak J et al., Google Scholar
[14]
Minimum ten-year follow-up of cemented total Google Scholar
[15]
hip replacement in patients with osteonecrosis of Google Scholar
[16]
the femoral head. Iowa Orthop J 2002;22:8. Google Scholar
[17]
Hartley WT, McAuley JP, Culpepper WJ et al., Google Scholar
[18]
Osteonecrosis of the femoral head treated with Google Scholar
[19]
cementless total hip arthroplasty. J Bone Joint Google Scholar
[20]
Surg Am 2000;82-A: 1408. Google Scholar
[21]
Schneider W, Knahr K, Total hip replacement Google Scholar
[22]
in younger patients: survival rate after avascular Google Scholar
[23]
necrosis of the femoral head. Acta Orthop Scand Google Scholar
[24]
[25]
Cameron HU, Keppler L, McTighe T, The role Google Scholar
[26]
of modularity in primary total hip arthroplasty. J Google Scholar
[27]
Arthroplasty 2006;21:89. Google Scholar
[28]
Christie MJ, DeBoer DK, Trick LW et al., Primary Google Scholar
[29]
total hip arthroplasty with use of themodular Google Scholar
[30]
S-ROMprosthesis. Four to seven-year clinical Google Scholar
[31]
and radiographic results. J Bone Joint Surg Am Google Scholar
[32]