Metaphyseal debonding of the Corail collarless cementless stem: report of 18 cases and case-control study

The Bone & Joint Journal
Martin A ButtaroFrancisco Piccaluga

Abstract

The Corail stem has good long-term results. After four years of using this stem, we have detected a small group of patients who have presented with symptomatic metaphyseal debonding. The aim of this study was to quantify the incidence of this complication, to delineate the characteristics of patients presenting with this complication and to compare these patients with asymptomatic controls to determine any important predisposing factors. Of 855 Corail collarless cementless stems implanted for osteoarthritis, 18 presented with symptomatic metaphyseal debonding. A control group of 74 randomly selected patients was assembled. Clinical and radiological parameters were measured and a logistic regression model was created to evaluate factors associated with metaphyseal debonding. The prevalence of this complication was 2.1% in our series. In the multivariable model, the presence of a Dorr B-type proximal femur was associated with metaphyseal debonding (odds ratio (OR) 10.73, 95% confidence interval (CI) 2.31 to 49.97, p = 0.002), as was a body mass index > 25 kg/m2 (OR 6.85, 95% CI 1.06 to 44.28, p = 0.04). Smaller stems and the use of a polyethylene acetabular liner appeared to be protective when compared with metal and ceramic sett...Continue Reading

Associated Clinical Trials

References

Jun 17, 2003·Acta Orthopaedica Scandinavica·Olav Reikerås, Ragnhild B Gunderson
Jan 2, 2007·The Journal of Arthroplasty·Mark I FroimsonJ P Vidalain
Dec 7, 2007·The Journal of Bone and Joint Surgery. British Volume·G HallanL I Havelin
Jan 1, 2008·The Journal of Arthroplasty·Adrian John BauzeGraham A Gie
Sep 4, 2010·International Orthopaedics·Jean-Pierre Vidalain
Sep 21, 2010·Orthopaedics & Traumatology, Surgery & Research : OTSR·F BachourJ Girard
Oct 20, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·O CantinM H Fessy
Dec 3, 2016·The Bone & Joint Journal·P MagillD E Beverland

❮ Previous
Next ❯

Citations

Nov 3, 2017·The Bone & Joint Journal·F S Haddad
Jul 22, 2019·Journal of Orthopaedic Surgery and Research·Trevor GascoyneColin Burnell
Jan 8, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Eduardo García-Rey
Dec 12, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ali AssafAled R Evans
Jul 26, 2021·The Journal of Arthroplasty·Paul N KarayiannisDavid E Beverland

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.