ArticleActa orthopaedica2012
Fixation of the fully hydroxyapatite-coated Corail stem implanted due to femoral neck fracture: 38 patients followed for 2 years with RSA and DEXA.
Article in Acta orthopaedica, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 30 citations in OpenAlex.
- Similar outcome with a new anteverted or a straight standard stem: a randomized study of 72 total hip arthroplasties evaluated with clinical variables, radiostereometry, and DXA up to 2 years.Acta orthopaedica · 2022Trial
- Early stabilization of the uncemented Symax hip stem in a 2-year RSA study.Acta orthopaedica · 2020Trial
- Randomised clinical trial assessing migration of uncemented primary total hip replacement stems, with and without autologous impaction bone grafting.International orthopaedics · 2019Trial
- Similar clinical results and early subsidence between the Collum Femoris Preserving and the Corail stem: a randomized radiostereometric study of 77 hips with 2 years' follow-up.Acta orthopaedica · 2019Trial
- Design modifications of the uncemented Furlong hip stem result in minor early subsidence but do not affect further stability: a randomized controlled RSA study with 5-year follow-up.Acta orthopaedica · 2014Trial
- Outcomes of cerclage wiring for intraoperative calcar fractures in cementless hemiarthroplasty in older patients with femoral neck fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Mid-term outcomes of compaction autologous bone grafting in uncemented primary total hip replacement stems.Archives of orthopaedic and trauma surgery · 2024Article
- Slightly reduced early subsidence with similar outcomes and complications rate in collared stems - A systematic review of randomized clinical trials.Journal of orthopaedics · 2024Review
- Effect of nHA-Coated Femoral Stem Prosthesis Combined with Platelet-Rich Plasma in Hemi Hip Replacement of Femoral Neck Fracture in the Elderly.Computational and mathematical methods in medicine · 2022Article
- Ultraviolet irradiation improves the hydrophilicity and osteo-conduction of hydroxyapatite.Journal of orthopaedic surgery and research · 2020Article
- Outcomes of cerclage wiring to manage intra-operative femoral fracture occurring during cementless hemiarthroplasty in older patients with femoral neck fractures.International orthopaedics · 2019Article
- Uncemented fully hydroxyapatite-coated hip stem for intracapsular femoral neck fractures in osteoporotic elderly patients: a multicenter study.Arthroplasty today · 2015Article
- [Juvenile rheumatoid diseases: Endoprosthetic care of destroyed hip joints].Der Orthopade · 2015Review
- Good stability but high periprosthetic bone mineral loss and late-occurring periprosthetic fractures with use of uncemented tapered femoral stems in patients with a femoral neck fracture.Acta orthopaedica · 2014Observational
- Radiostereometry and new prostheses.Acta orthopaedica · 2012Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundToday, dislocated femoral neck fractures are commonly treated with a cemented hip arthroplasty. However, cementing of the femoral component may lead to adverse effects and even death. Uncemented stems may lower these risks and hydroxyapatite (HA) coating may enhance integration, but prosthetic stability and clinical outcome in patients with osteoporotic bone have not been fully explored. We therefore studied fixation and clinical outcome in patients who had had a femoral neck fracture and who had received a fully HA-coated stem prosthesis. PATIENTS AND
methods50 patients with a dislocated femoral neck fracture were operated with the fully HA-coated Corail total or hemiarthroplasty. 38 patients, mean age 81 (70-96) years, were followed for 24 months with conventional radiographs, RSA, DEXA, and for clinical outcome.
results31 of the 38 implants moved statistically significantly up to 3 months, mainly distally, mean 2.7 mm (max. 20 mm (SD 4.3)), and rotated into retroversion mean 3.3º (-1.8 to 17) (SD 4.3) and then appeared to stabilize. Distal stem migration was more pronounced if the stem was deemed to be too small. There was no correlation between BMD and stem migration. The migration did not result in any clinically adverse effects.
interpretationThe fully hydroxyapatite-coated Corail stem migrates during the first 3 months, but clinical outcome appears to be good, without any adverse events.
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