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

Mai Dac Viet1, Nguyen Thu Thuy1, Tran Thi Kieu Oanh1
1 108 Mililary Central Hospital

Main Article Content

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.

Article Details

References

[1] Radl R, Hungerford M, Materna W et al., Higher
failure rate and stem migration of an uncemented
femoral component in patients with femoral head
osteonecrosis than in patients with osteoarthrosis.
Acta Orthop 2005;76:49.
[2] Saito S, Saito M, Nishina T et al., Long-term
results of total hip arthroplasty for osteonecrosis
of the femoral head. A comparison with
osteoarthritis. Clin Orthop Relat Res 1989:198.
[3] Lieberman JR, Berry DJ, Mont MA et al.,
Osteonecrosis of the hip: management in the 21st
century. Instr Course Lect 2003;52:337.
[4] Fyda TM, Callaghan JJ, Olejniczak J et al.,
Minimum ten-year follow-up of cemented total
hip replacement in patients with osteonecrosis of
the femoral head. Iowa Orthop J 2002;22:8.
[5] Hartley WT, McAuley JP, Culpepper WJ et al.,
Osteonecrosis of the femoral head treated with
cementless total hip arthroplasty. J Bone Joint
Surg Am 2000;82-A: 1408.
[6] Schneider W, Knahr K, Total hip replacement
in younger patients: survival rate after avascular
necrosis of the femoral head. Acta Orthop Scand
2004;75:142.
[7] Cameron HU, Keppler L, McTighe T, The role
of modularity in primary total hip arthroplasty. J
Arthroplasty 2006;21:89.
[8] Christie MJ, DeBoer DK, Trick LW et al., Primary
total hip arthroplasty with use of themodular
S-ROMprosthesis. Four to seven-year clinical
and radiographic results. J Bone Joint Surg Am
1999;81:1707.